| NPI | 1003387382 |
|---|---|
| Former Name | ANNA BENNISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501018815) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2023-04-04 |