| NPI | 1396949806 |
|---|---|
| Former Name | MARLA J BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2000167616) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03521) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-03-27 |