Individual
MR. JONATHAN PHILIP BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 LEMMON HILL LN, SALISBURY, MD 21801-4239
(410) 334-3563
Mailing address
300 LEMMON HILL LN, SALISBURY, MD 21801-4239
(410) 334-3563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3856
MD
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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