DANIEL ERIC BENNETT

WATTS, OK
NPI1750629838
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-01-23
Last Update Date2013-01-29
Business Address
Mr. DANIEL ERIC BENNETT
202 S. MAIN ST
WATTS, OK 74964
Phone number: 918-422-4888
Mailing Address
Mr. DANIEL ERIC BENNETT
547 NIRK AVE
SAINT LOUIS, MO 63122-5624
Phone number: 314-583-9033