Bennet George Jefferson Valid NPI

Individual provider · Developmental Therapist · Raleigh, NC

NPI

1962852319

Type

Individual (Type 1)

Primary specialty

Developmental Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

222Q00000X

Sex

Male

Sole proprietor

No

Enumerated

2016-06-16

Last updated

2016-06-16