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1093271355
BRETT BENNETT
MERIDIAN, ID
NPI
1093271355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 6104)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
BRETT BENNETT PT
3645 E OVERLAND RD
MERIDIAN, ID 83642-6751
Phone number: 208-888-7765
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Mailing Address
BRETT BENNETT PT
16083 SW UPPER BOONES FERRY RD STE 300
TIGARD, OR 97224-7736
Phone number: 503-443-6156
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