| Dr Edie Knowlton Benner, PHD | |
|
4707 Mill Street, Mantua, OH 44255 | |
| (330) 274-2747 | |
| (330) 274-0337 |
| Full Name | Dr Edie Knowlton Benner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 42 Years |
| Location | 4707 Mill Street, Mantua, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568535862 | NPI | - | NPPES |
| 2161922 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3343 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Rehabilitation And Health Specialists Inc | 3678666807 | 2 |
| Provider Name | Advanced Rehabilitation And Health Specialists Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780763763 PECOS PAC ID: 3678666807 Enrollment ID: O20070905000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edie Knowlton Benner, PHD Po Box 638, Mantua, OH 44255-0638 Ph: (330) 274-2747 | Dr Edie Knowlton Benner, PHD 4707 Mill Street, Mantua, OH 44255 Ph: (330) 274-2747 |
Marissa Lilliana Biclawski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10600 Peck Rd, Mantua, OH 44255 Phone: 330-221-7634 | |
Samantha Nicole Salatino, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4707 Mill St, Mantua, OH 44255 Phone: 330-274-2747 | |
Mrs. Jennifer Dupan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9772 Diagonal Rd, Mantua, OH 44255 Phone: 330-274-2272 Fax: 330-274-3140 | |
Caitlin Goggin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4707 Mill St, Mantua, OH 44255 Phone: 330-274-2747 Fax: 330-274-0337 | |
Advanced Rehabilitation And Health Specialists Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4707 Mill Street, Mantua, OH 44255 Phone: 330-274-2747 Fax: 330-274-0337 |