MR. Michael Vincent Bannon, ATC, LAT
NPI #1760747281 in Richboro, Pennsylvania
Provider Information
- NPI Number
- 1760747281
- Entity Type
- Individual
- Name
- MR. Michael Vincent Bannon, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 100 ALMSHOUSE RD
- City
- Richboro
- State
- Pennsylvania
- ZIP Code
- 18954-1108
- Phone
- (215) 357-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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