| Doctor Name: | SUSAN E. BENNETT |
| NPI Number: | 1033253331 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, EDD, NCS |
| License Number: | 5413 |
| Business Practice Address: | 3940 California Rd Orchard Park, NY - 141272275 |
| Business Phone Number: | 7166622922 |
| Business Fax Number: | 7166623828 |
| Mailing Address: | 2075 Sheridan Dr, KENMORE |
| State: | NY |
| Postal Code: | 142231432 |
| Phone Number: | 7168038220 |
| Fax Number: | 7168741458 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |