Individual
MR. REGINALD THEOPHILUS BENNETT
Active
Individual
MR. REGINALD THEOPHILUS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Z00000X
VAMC
—
Enumeration date
10/09/2008
Last updated
10/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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