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1558780288
MICHAEL BENNETT
ST PETERSBURG, FL
NPI
1558780288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 24756)
Enumeration Date
2014-04-09
Last Update Date
2014-04-09
Business Address
-- MICHAEL BENNETT PTA
4235 BURLINGTON AVE N
ST PETERSBURG, FL 33713-8227
Phone number: 727-515-0053
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Mailing Address
-- MICHAEL BENNETT PTA
4235 BURLINGTON AVE N
ST PETERSBURG, FL 33713-8227
Phone number: 727-515-0053
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