Individual
SYDNEY BANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 SW FAIRLAWN RD, TOPEKA, KS 66606-2338
(785) 270-7452
Mailing address
7319 SW 24TH ST, TOPEKA, KS 66614-6013
(316) 519-8285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03384
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-03384
PHSICAL THERAPIST ASSISTANT
KS
Enumeration date
10/30/2018
Last updated
10/30/2018
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