| NPI | 1083946586 |
|---|---|
| Doing Business As | BENNETT CLINIC |
| Entity Type | Organization |
| Authorized Contact | WAYNE ANTHONY BENNETT Director 928-771-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AZ PT 6078) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: AZ 5009) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2013-03-06 |