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1700211398
MICHAEL BENNETT
LITTLE ROCK, AR
NPI
1700211398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
-- MICHAEL BENNETT
629 JACK STEPHENS DR
LITTLE ROCK, AR 72205-5525
Phone number: 501-526-5770
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Mailing Address
-- MICHAEL BENNETT
4301 W MARKHAM ST SLOT 805
LITTLE ROCK, AR 72205-7101
Phone number: 501-526-5770
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