Tami Imbriale Bannister, PT

NPI #1841516697 in Grapevine, Texas

Provider Information

NPI Number: 1841516697
Entity Type: Individual
Name: Tami Imbriale Bannister, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 18, 2010
Last Updated: Apr 18, 2010

Practice Location

Address: 424 BALL ST
City: Grapevine
State: Texas
ZIP Code: 76051-5112
Phone: (817) 488-8373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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