Individual
ELIZABETH MICHELLE BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12171 HOPPER LANE, BRISTOW, VA 20136
(571) 247-8580
Mailing address
12171 HOPPER LANE, BRISTOW, VA 20136
(571) 247-8580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005290
PA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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