Individual
DR. LARRY BENNETT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6697 VILLA CT, LITHONIA, GA 30038-2468
(704) 293-0202
Mailing address
3215 WINDSHIRE LN UNIT 210, CHARLOTTE, NC 28273-4190
(704) 293-0202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1254338
TX
225100000X
Physical Therapist
Primary
13484
NC
225100000X
Physical Therapist
24972
MD
225100000X
Physical Therapist
7282
SC
225100000X
Physical Therapist
P13484
NC
225100000X
Physical Therapist
PT012203
GA
Other
Enumeration date
02/27/2014
Last updated
01/17/2022
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