| NPI | 1588727036 |
|---|---|
| Former Name | GINGER BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT870262) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-09-24 |