MR. Richard Joseph Bennett, CATC II
NPI #1174893853 in Azusa, California
Provider Information
- NPI Number
- 1174893853
- Entity Type
- Individual
- Name
- MR. Richard Joseph Bennett, CATC II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Credential
- CATC II
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Jan 11, 2012
Practice Location
- Address
- 23701 E EAST FORK RD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1477
- Phone
- (626) 250-3290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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