| NPI | 1952799660 |
|---|---|
| Other Name | ABBY BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13845) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NC LAT-2808) |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TX AT5646) | |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2024-01-22 |