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Mr. Jack Bentley, PT
Specialist in Mobile, Alabama
NPI 1124110739

Jack Bentley is a Specialist based in Mobile, AL. Jack Bentley practices in Mobile, AL and has the professional credentials of PT. The NPI Number for Jack Bentley is 1124110739 and holds a License No. PTH3594 (Alabama).

The current practice location address for Jack Bentley is 67 E Midtown Park, Mobile, AL and can be reached out via phone at 251-476-1279 and via fax at 251-476-2882.

Location: 67 E Midtown Park, Mobile, AL, 36618-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124110739
Provider Name
Jack Bentley
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
67 E Midtown Park, Mobile, AL, 36618-3004
Phone Number
251-476-1279
Fax Number
251-476-2882
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PTH3594 01 AL PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
67 E Midtown Park
City
Mobile
State
Alabama
Zip
36606-4141
Phone Number
251-476-1279
Fax Number
251-476-2882
person
Provider Business Mailing Address Details
Address
67 E Midtown Park
City
Mobile
State
Alabama
Zip
36606-4141
Phone Number
251-476-1279
Fax Number
251-476-2882
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PTH3594 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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