Blake Ariel Banner, PT
NPI #1942770342 in Forestville, Maryland
Provider Information
- NPI Number
- 1942770342
- Entity Type
- Individual
- Name
- Blake Ariel Banner, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 28, 2018
- Last Updated
- May 20, 2024
Practice Location
- Address
- 2950 DONNELL DR STE G
- City
- Forestville
- State
- Maryland
- ZIP Code
- 20747-3277
- Phone
- (240) 492-3410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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