JAMES TYLER BENNETT LPTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1104657279- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 3920A BRIDGE RD STE 306A, SUFFOLK, VA, 234351127
- Phone
- (757) 983-0025
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: VA #2306605769
All Addresses
MAILING
4409 LIAM CLOSE
CHESAPEAKE, VA, 233214259