Amanda Bennett, ATC, LAT, PES, EMT-B

NPI #1962867838 in Lakeland, Florida

Provider Information

NPI Number
1962867838
Entity Type
Individual
Name
Amanda Bennett, ATC, LAT, PES, EMT-B
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
ATC, LAT, PES, EMT-B
Enumeration Date
Dec 21, 2015
Last Updated
Dec 21, 2015

Practice Location

Address
705 CENTRAL PARKE CIR APT 208
State
Florida
ZIP Code
33805-9590
Phone
(865) 556-9589

Specialties & Taxonomy Codes

Specialty
Specialist

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