Most Relevant Information
Provider Data
| NPI Number: | 1003508045 |
| Provider Name: | AUSTIN H. BENNETT DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2305215767 |
Most Important Dates
| Enumeration Date: | 05/25/2023 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
2011 ENTERPRISE DR
FOREST
VA
245512653
Practice Location Phone/Fax
| Phone: | 4348510091 |
| Fax: |
Provider Mailing Location
2011 ENTERPRISE DR
FOREST
VA
245512653
Provider Mailing Phone/Fax
| Phone: | 4348510091 |
| Fax: |