MR. Jack Bentley, P.T.

NPI #1124110739 in Mobile, Alabama

Provider Information

NPI Number: 1124110739
Entity Type: Individual
Name: MR. Jack Bentley, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 67 E MIDTOWN PARK
City: Mobile
State: Alabama
ZIP Code: 36606-4141
Phone: (251) 476-1279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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