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Individual

JAMES A. BANNISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
26 POPLAR MANOR RD, BETHEL, VT 05032-9133
(802) 234-9240
Mailing address
26 POPLAR MANOR RD, BETHEL, VT 05032-9133
(802) 234-9240

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003189
VT

Other

Enumeration date
06/12/2009
Last updated
11/12/2011
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