MRS. Connie S Banks

NPI #1215103163 in Park Forest, Illinois

Provider Information

NPI Number: 1215103163
Entity Type: Individual
Name: MRS. Connie S Banks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 1, 2008
Last Updated: May 1, 2008

Practice Location

Address: 318 MOHAWK ST
City: Park Forest
State: Illinois
ZIP Code: 60466-1908
Phone: (708) 932-4193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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