Ethan Conner Bennett, DPT
Physical Therapist in Temple Terrace, FL. Individual provider (NPI-1).
NPI number1285328526
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1285328526
- Entity type
- Individual (NPI-1)
- Name
- Ethan Conner Bennett
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2023
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTT40306 | FL | Yes |
Practice location
5901 E Fowler Ave Ste 100Temple Terrace, FL 33617-2305
Phone 813-978-9700 · Fax 813-978-9700
Mailing address
5901 E Fowler Ave Ste 100Temple Terrace, FL 33617-2305
Phone 813-978-9700 · Fax 813-978-9700
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All 60 Physical Therapist providers in Temple Terrace · All 1,270 providers in Temple Terrace
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