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Matthew Bennett

Physical Therapist, Orthopedic in Austin, TX. Individual provider (NPI-1).

NPI number1639583271
StatusActive
Last updated in NPPESJun 11, 2014

Details

NPI
1639583271
Entity type
Individual (NPI-1)
Name
Matthew Bennett
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2014
Last updated
Jun 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic1242529TXYes

Practice location

6818 Austin Center Blvd Ste 111
Austin, TX 78731-3199

Phone 512-418-8870

Mailing address

6607 Brodie Ln Apt 1223
Austin, TX 78745-4655

Phone 512-538-5352

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