Individual
MARISSA K. BANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 RIVERSIDE DR, COLUMBUS, OH 43212-1855
(614) 486-9511
(614) 486-5628
Mailing address
1800 RIVERSIDE DR, COLUMBUS, OH 43212-1855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6342
OH
Other
Enumeration date
07/28/2009
Last updated
08/11/2009
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