Individual
JACQUELINE PALLER BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7532 WILKINS DR, FAYETTEVILLE, NC 28311-9338
(910) 868-6000
Mailing address
906 MEBANE OAKS RD, MEBANE, NC 27302-7951
(919) 563-1825
(919) 563-1833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G76041
—
NC
Enumeration date
09/13/2016
Last updated
02/04/2020
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