Most Relevant Information
Provider Data
| NPI Number: | 1003541731 |
| Provider Name: | JENNIFER BENEZET PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 40QB00374400 |
Most Important Dates
| Enumeration Date: | 07/18/2022 |
| Last Updated: | 07/18/2022 |
Provider Practice Location
2832 NIGHTINGALE RD
PHILADELPHIA
PA
191541628
Practice Location Phone/Fax
| Phone: | 2672428196 |
| Fax: |
Provider Mailing Location
2832 NIGHTINGALE RD
PHILADELPHIA
PA
191541628
Provider Mailing Phone/Fax
| Phone: | 2672428196 |
| Fax: |