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Organization

BENNETT CLINIC LLC

Active
Other names
Bennett Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY BENNETT (OFFICER)
(928) 771-8716
Entity
Organization

Contact information

Practice address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1428
(928) 771-9400
(928) 771-9464
Mailing address
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301-1428
(928) 771-9400
(928) 771-9464

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10600
AZ

Other

Enumeration date
03/07/2014
Last updated
03/07/2014
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