Individual
HOLLY M BANARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2937 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-2713
(314) 961-3804
(314) 961-1147
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022023815
MO
225100000X
Physical Therapist
CP042804T
NE
225100000X
Physical Therapist
CP042805T
IA
Other
Enumeration date
11/29/2022
Last updated
03/31/2025
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