Individual
HEATHER R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 FAITH CHURCH RD, INDIAN TRAIL, NC 28079-9300
(704) 882-5871
Mailing address
PO BOX 2518, INDIAN TRAIL, NC 28079-2518
(704) 882-5871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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