Individual
SARA ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4832 MARLA AVE, LAKELAND, FL 33812-3131
(863) 640-4124
Mailing address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 268-2608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32267
FL
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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