Individual
CHRISTINE LAURA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9575 ETHAN WADE WAY SE, SNOQUALMIE, WA 98065
(509) 910-2548
Mailing address
3055 231ST LN SE, E-105, SAMMAMISH, WA 98075-6298
(509) 910-2548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160041149
WA
Other
Enumeration date
05/09/2007
Last updated
12/16/2008
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