Individual provider · NPI-1
Trudy Hodges Bennett, PTA
Physical Medicine & Rehabilitation · Arlington, TX
NPI number1104583400
StatusActive
Last updated in NPPESNov 21, 2021
Details
- NPI
- 1104583400
- Entity type
- Individual (NPI-1)
- Name
- Trudy Hodges Bennett
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2021
- Certification date
- Nov 21, 2021
- Last updated
- Nov 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2006094 | TX | Yes |
Practice location
401 W Arbrook BlvdArlington, TX 76014-3108
Phone 817-222-6000
Mailing address
2205 Springwood LnWeatherford, TX 76087-3837
Phone 817-455-1319
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