Jill Michelle Banka, PTA
NPI #1164642823 in Coopersville, Michigan
Provider Information
- NPI Number
- 1164642823
- Entity Type
- Individual
- Name
- Jill Michelle Banka, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 25 CONRAN DR
- City
- Coopersville
- State
- Michigan
- ZIP Code
- 49404-1366
- Phone
- (616) 997-6172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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