Doctor Name: | JULIA ELIZABETH BENNETT |
NPI Number: | 1003975228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P. T. |
License Number: | 1098168 |
Business Practice Address: | 611 W State Highway 6 Suite 101 Waco, TX - 767107544 |
Business Phone Number: | 2547763070 |
Business Fax Number: | 2547767909 |
Mailing Address: | 5387 Cooksey Ln, ROBINSON |
State: | TX |
Postal Code: | 767067109 |
Phone Number: | 2547763070 |
Fax Number: | 2547767909 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1098168 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |