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JUDY JORDAN BENTON PT, PCS

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1710991450

Individual Registrant:
 JUDY JORDAN BENTON PT, PCS
Gender: F
Sole Proprietor

Location and contact information for practice:
1705 LEIGHTON AVE  ANNISTON, AL 36207-3832 US
Tel: 256-235-2524  Fax: 256-236-2573

Contact information for business:
1106 HERITAGE LN NE  JACKSONVILLE, AL 36265-1255 US
Tel: 256-235-2524  Fax: 256-236-2573

Registration Information:
NPI: 1710991450
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AL19736

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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