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Contact Information

EDIE K BENNER, PHD.
4707 MILL STREET
MANTUA, OH44255
 Phone: 330-274-2747
 Fax: 330-274-0337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EDIE K BENNER · (Female)

NPI # 1568535862
Status Active
Credentials PHD.
Entity Individual
Enumeration date 11/16/2006
Last updated 09/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # 3343
  • OH Medicaid 2161922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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