Individual
CHRISTINA BANASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5549
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 948-5549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006564
OH
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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