Individual
MS. PAMELA ANN BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6309 E BAYWOOD AVE, MESA, AZ 85206-1744
(602) 889-5200
(623) 251-5661
Mailing address
17233 N HOLMES BLVD, SUITE 1650, PHOENIX, AZ 85053-2018
(602) 889-5200
(623) 251-5661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4125
AZ
Other
Enumeration date
07/19/2006
Last updated
09/12/2014
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