Earle McKenzie Bane III, PT,DPT,ATC,SCS,CSCS
Physical Therapist in Timonium, MD. Individual provider (NPI-1).
NPI number1144686999
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1144686999
- Entity type
- Individual (NPI-1)
- Name
- Earle McKenzie Bane III
- Credential
- PT,DPT,ATC,SCS,CSCS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2016
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | MD25774 | MD | Yes |
| 225100000X | Physical Therapist | PT871911 | DC |
Practice location
2118 Greenspring Dr Ste 200Timonium, MD 21093-3112
Phone 410-512-5820
Mailing address
2118 Greenspring Dr Ste 200Timonium, MD 21093-3112
Phone 410-512-5820
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All 91 Physical Therapist providers in Timonium · All 903 providers in Timonium
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