NPI 1124110739
Jack Bentley, PT
Practice location
- Address
- 67 E Midtown Park, Mobile, AL 36606-4141
- Phone
- (251) 476-1279
- Fax
- (251) 476-2882
- Mailing address
- 5757 Deerwood Dr S, Mobile, AL 36618-3004
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1124110739
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.