TIM M BANE

GRUNDY, VA
NPI1487302592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000341)
Enumeration Date2022-03-17
Last Update Date2022-03-17
Business Address
Mr. TIM M BANE ATC
1092 WINTER WREN ST
GRUNDY, VA 24614-5770
Phone number: 540-632-9184
Mailing Address
Mr. TIM M BANE ATC
1092 WINTER WREN ST
GRUNDY, VA 24614-5770
Phone number: 540-632-9184