Individual
DR. AMANDA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 COLLEY AVE STE A, NORFOLK, VA 23508-2508
(757) 620-5464
(757) 799-1668
Mailing address
4210 COLLEY AVE STE A, NORFOLK, VA 23508-2508
(757) 620-5464
(757) 799-1668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
230521125
VA
Other
Enumeration date
06/22/2021
Last updated
01/05/2023
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