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Individual

MRS. SHARON BANKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 762-9838
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1384
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
783169
AZ
Enumeration date
04/04/2007
Last updated
07/08/2007
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