Individual
GORDON HAMPTON BANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 MOUNTAIN VISTA ROAD, DENTON, NC 27239-0000
(336) 859-2181
Mailing address
106 MOUNTAIN VISTA ROAD, DENTON, NC 27239-0000
(336) 859-2181
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2824
NC
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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