Bennett, Renee
Bennett, Renee is an individual health care provider with primary practice located at 10618 Breckenridge Dr , Little Rock AR 72211-1802. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bennett, Renee can be contacted via phone (501) 217-8600.Contact Information
Primary practice address
10618 Breckenridge Dr
Little Rock AR 72211-1802
Phone: (501) 217-8600
Fax: (501) 217-8636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 807 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 807 | Arkansas |
Profile Details
| NPI number | 1487702759 |
|---|---|
| LBN Legal business name | Bennett, Renee |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487702759 | NPPES |
| Arkansas | Other | 5T180 | BCBS |
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