NPI | 1306010996 |
---|---|
Professional Name | MARIA LAURISA BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62608) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT294703) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2018-05-14 |