Individual
RADOVAN BANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OT
Contact information
Practice address
5418 WHITLEY WAY, GREENSBORO, NC 27407-5470
(336) 790-2402
Mailing address
5418 WHITLEY WAY, GREENSBORO, NC 27407-5470
(336) 790-2402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8654
NC
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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