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Individual

ELIZA BANKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 NC HWY 55, SUITE 102, CARY, NC 27519-8427
(919) 363-5000
(919) 363-5346
Mailing address
3100 NC HWY 55, SUITE 102, CARY, NC 27519-8427
(919) 363-5000
(919) 363-5346

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3786
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12813
BCBS
NC
05
7210370
NC
Enumeration date
01/25/2007
Last updated
01/11/2011
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