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Individual

MR. CARLOS BANNISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
5908 PEACEFUL GLEN DR, PFAFFTOWN, NC 27040-9300
(336) 287-7941
(336) 287-7941
Mailing address
5908 PEACEFUL GLEN DR, PFAFFTOWN, NC 27040-9300
(336) 287-7941

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
12879
NC

Other

Enumeration date
05/19/2017
Last updated
03/17/2018
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