Individual
EARLE MCKENZIE BANE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT,ATC,SCS,CSCS
Contact information
Practice address
2118 GREENSPRING DR STE 200, TIMONIUM, MD 21093-3112
(410) 512-5820
Mailing address
2118 GREENSPRING DR STE 200, TIMONIUM, MD 21093-3112
(410) 512-5820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MD25774
MD
225100000X
Physical Therapist
PT871911
DC
Other
Enumeration date
01/10/2016
Last updated
04/29/2024
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