Renee Bennett is a Pediatrics in Little Rock, Arkansas. Renee Bennett practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Renee Bennett is 1487702759. The last update date is 2007-07-08.
Renee Bennett's current location address is 10618 Breckenridge Dr, Little Rock, Arkansas. You can contact this provider via phone number 5012178600 and fax number 5012178636. The mailing address for Renee Bennett is 10618 Breckenridge Dr, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Renee Bennett |
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Address | 10618 Breckenridge Dr, Little Rock, Arkansas |
Phone Number | 5012178600 |
Fax Number | 5012178636 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1487702759 |
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Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10618 Breckenridge Dr |
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City | Little Rock |
State | Arkansas (AR) |
Post Code | 722111802 |
Phone Number | 5012178600 |
Fax Number | 5012178636 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 807 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5T180 | AR | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Renee Bennett by the Centers for Medicare & Medicaid Services?
The Renee Bennett has been issued the NPI (National Provider Identifier) 1487702759, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Renee Bennett is geographically located?
The Renee Bennett is physically situated at the following location: 10618 Breckenridge Dr, Little Rock, AR, 722111802.
What is Renee Bennett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Renee Bennett is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487702759 to Renee Bennett?
The Centers for Medicare & Medicaid Services originally issued the 1487702759 to Renee Bennett on 2007-01-05.
When was the information pertaining to Renee Bennett most recently updated or revised?
The details related to Renee Bennett, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1215930425
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