Individual
BETHANY HANSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-4751
Mailing address
1103 E HOLLY AVE, STERLING, VA 20164-2611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00651
MD
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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