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Individual

JACLYN M BANKER

Active
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Individual

JACLYN M BANKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8983
SC
225100000X
Physical Therapist
PT013272
GA
225100000X
Physical Therapist
PT26642
FL
2255A2300X
Athletic Trainer
AL2464
FL
2255A2300X
Athletic Trainer
AT001852
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041600
—
FL
Enumeration date
02/14/2011
Last updated
09/05/2018
About Stedi
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