Richard Joseph Bennett, CATC II Valid NPI
Individual provider · Rehabilitation Practitioner · Azusa, CA
- NPI
- 1174893853
- Type
- Individual (Type 1)
- Primary specialty
- Rehabilitation Practitioner
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225400000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-01-11
- Last updated
- 2012-01-11
Practice location
23701 E East Fork Rd
Azusa, CA 91702-1477
(626) 250-3290