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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN CAROL BANE, PHYSICAL THERAPIST

Active Sole Proprietor

SUSAN CAROL BANE, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in PENSACOLA BEACH, Florida. NPI 1700416815 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PENSACOLA BEACH, FL

Registration Details

NPI Number
1700416815
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2020 (6.5407940825895 yrs)
Last Updated
Jan 17, 2020
Licenses
PT5075 (FL)
PT5075 (FL)
Sole Proprietor
Yes

Practice Information

Address
1500 VIA DELUNA
D6
PENSACOLA BEACH, FL, 32561
Browse FL providers · Browse ZIP 32561
Phone
8502921407
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.