Individual
JOSEPH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
532 MAIN ST STE 5, SACO, ME 04072-1526
(207) 820-7609
(866) 563-5563
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016012
GA
Other
Enumeration date
07/19/2022
Last updated
07/27/2023
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