Mary-Rosellen Banks, DPT
Physical Therapist in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1447650023
StatusActive
Last updated in NPPESMar 1, 2017
Details
- NPI
- 1447650023
- Entity type
- Individual (NPI-1)
- Name
- Mary-Rosellen Banks
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2014
- Last updated
- Mar 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305204353 | VA | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126000598 | VA |
Practice location
5301 Providence RdSuite 80
Virginia Beach, VA 23464-4128
Phone 757-467-1900 · Fax 757-467-7900
Mailing address
5301 Providence RdSuite 80
Virginia Beach, VA 23464-4128
Phone 757-467-1900 · Fax 757-467-7900
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