Individual
MRS. AUBREY LOUISE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
207 W JACKSON ST STE 2, RIDGELAND, MS 39157-2355
(601) 362-0859
(601) 362-0870
Mailing address
207 W JACKSON ST STE 2, RIDGELAND, MS 39157-2355
(601) 362-0859
(601) 362-0870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH8993
AL
2251P0200X
Pediatric Physical Therapist
Primary
PT-7078
MS
Other
Enumeration date
08/07/2018
Last updated
05/18/2021
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