| NPI | 1811771058 |
|---|---|
| Former Name | CAROLINE BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32873) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 11964) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-10-23 |