Organization
VICTORY RECOVERY & PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYLAN JAMES BANKS PT, DPT, CSCS (OWNER/PHYSICAL THERAPIST)
(812) 251-1114
Entity
Organization
Contact information
Practice address
7700 NISBET RD, HAUBSTADT, IN 47639-9240
(812) 251-1114
Mailing address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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