Individual
JAMIE SUE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT.
Contact information
Practice address
2073 HOLTON RD, MUSKEGON, MI 49445-1535
(231) 744-0077
(231) 744-0030
Mailing address
2073 HOLTON RD, MUSKEGON, MI 49445-1535
(231) 744-0077
(231) 744-0030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305206165
VA
225100000X
Physical Therapist
Primary
5501018455
MI
Other
Enumeration date
10/14/2009
Last updated
05/23/2019
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