Doctor Name: | DR. EDIE KNOWLTON BENNER |
NPI Number: | 1568535862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD. |
License Number: | 3343 |
Business Practice Address: | 4707 Mill Street Mantua, OH - 44255 |
Business Phone Number: | 3302742747 |
Business Fax Number: | 3302740337 |
Mailing Address: | Po Box 638, MANTUA |
State: | OH |
Postal Code: | 442550638 |
Phone Number: | 3302742747 |
Fax Number: | 3302740337 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |