| Doctor Name: | BRIAN BENTRUP |
| NPI Number: | 1114932662 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 6089 |
| Business Practice Address: | 1807 E Queen Creek Rd Ste 7 Chandler, AZ - 852862023 |
| Business Phone Number: | 4803614604 |
| Business Fax Number: | 4802379474 |
| Mailing Address: | 454 W Honeysuckle Dr, CHANDLER |
| State: | AZ |
| Postal Code: | 852483973 |
| Phone Number: | 4806642262 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 08/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |