| NPI | 1568591568 |
|---|---|
| Former Name | BETHANY BENKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1145555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 550105740) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-07-21 |