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1780395962
DEZHANE BENNETT
LYNBROOK, NY
NPI
1780395962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 0134575-01)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
DEZHANE BENNETT PTA
444 MERRICK RD # 360
LYNBROOK, NY 11563-2460
Phone number: 516-536-3800
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Mailing Address
DEZHANE BENNETT PTA
12 ROOSEVELT AVE
AMITYVILLE, NY 11701-2317
Phone number:
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