Individual
MRS. MARLA DENEEN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC MED
Contact information
Practice address
58 MEADOW CT, SEWELL, NJ 08080-3729
(609) 929-9000
Mailing address
58 MEADOW CT, SEWELL, NJ 08080-3729
(609) 929-9000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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