JACK BENNETT

SAINT LOUIS, MO
NPI1780895771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  R1364)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- JACK BENNETT PT
11709 OLD BALLAS RD SUITE 205
SAINT LOUIS, MO 63141-7029
Phone number: 314-991-0480
Mailing Address
-- JACK BENNETT PT
11709 OLD BALLAS RD SUITE 205
SAINT LOUIS, MO 63141-7029
Phone number: 314-991-0480
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