Individual
LORIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8720 EMGE RD, BALTIMORE, MD 21234-3504
(410) 668-1961
Mailing address
617 WARREN RD, COCKEYSVILLE, MD 21030-2713
(410) 666-7915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3454
MD
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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