Individual
JACOB BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16838 E PALISADES BLVD STE B121, FOUNTAIN HILLS, AZ 85268-3789
(480) 837-2595
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(480) 937-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034067
AZ
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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