Jordan Bennett
Jordan Bennett is a Physical Therapist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.
- Licensed in
- MS
- In the registry since
- 2014
Practice location Address checks out
11010 David St Ste AGulfport, MS 39503-3481
Phone: (228) 832-8327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT5517 (MS) |
|---|
Record details
| NPI number | 1194131870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 2, 2014 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
| Mailing address | 11010 David St Ste A, Gulfport, MS 39503-3481 |
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