Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL S. BENNETT, P.T.
ActivePhysical Therapy Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1649279993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (20.783803101695 yrs)
- Last Updated
- Jul 8, 2007
- License
-
05001635A (IN)
Practice Information
- Address
-
7601 W JEFFERSON BLVDFORT WAYNE, IN, 468044133Browse IN providers · Browse ZIP 46804
- Phone
- 2604368686
- Fax
- 2604325075
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| PETER A PAONESSA | P.T. | 1013910934 |
| JASON HAZELETT | PT | 1346247681 |
| CHAD E PARENT | PT | 1306845797 |
| CYNTHIA C TOLL | PT | 1114926516 |
| JULIE HERMAN | P.T. | 1902805351 |
| THERESA M SPADE | PT | 1982605804 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.