TOM D BENNETCH

LAKE HAVASU CITY, AZ
NPI1174638084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  4446)
Enumeration Date2006-08-20
Last Update Date2012-08-30
Business Address
-- TOM D BENNETCH PT
297 S LAKE HAVASU AVE #102
LAKE HAVASU CITY, AZ 86403
Phone number: 928-453-0501
Mailing Address
-- TOM D BENNETCH PT
1990 MCCULLOCH BLVD N #D282
LAKE HAVASU CITY, AZ 86403-5749
Phone number: 928-453-0501
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