Individual
GINA M. BANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
24801 PINEBROOK RD, CHANTILLY, VA 20152
(703) 722-2525
(703) 327-6708
Mailing address
24801 PINEBROOK RD, CHANTILLY, VA 20152
(703) 722-2525
(703) 327-6708
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305204309
VA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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