Joel Bannister, PTA

NPI #1154754455 in Stafford, Virginia

Provider Information

NPI Number
1154754455
Entity Type
Individual
Name
Joel Bannister, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 10, 2013
Last Updated
Aug 10, 2013

Practice Location

Address
2777 JEFFERSON DAVIS HWY
Address 2
SUITE 109
ZIP Code
22554-8323
Phone
(540) 318-8615

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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