Individual
CHRISTOPHER BANAGA SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3290 N RIDGE RD STE 290, ELLICOTT CITY, MD 21043-3657
(410) 750-9006
Mailing address
3290 N RIDGE RD STE 290, ELLICOTT CITY, MD 21043-3657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23077
MD
Other
Enumeration date
04/23/2011
Last updated
04/23/2011
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