Doctor Name: | MR. LEE C BENNETT |
NPI Number: | 1982627634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT01935 |
Business Practice Address: | 10 High St S. C. Ortho - Suite G Wakefield, RI - 028793144 |
Business Phone Number: | 4017838077 |
Business Fax Number: | 4017896029 |
Mailing Address: | 43 Crestwood Dr, HOPE VALLEY |
State: | RI |
Postal Code: | 028323405 |
Phone Number: | 2075774891 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT01935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |