Individual
MR. DANE THOMAS BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
601 KINGS RD, LYNCHBURG, VA 24502-5814
(434) 665-5977
Mailing address
601 KINGS RD, LYNCHBURG, VA 24502-5814
(434) 665-5977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
07/12/2016
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