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Christopher Banaga Sy, PT

Physical Therapist in Ellicott City, MD. Individual provider (NPI-1).

NPI number1881985992
StatusActive
Last updated in NPPESApr 23, 2011

Details

NPI
1881985992
Entity type
Individual (NPI-1)
Name
Christopher Banaga Sy
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2011
Last updated
Apr 23, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist23077MDYes

Practice location

3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657

Phone 410-750-9006

Mailing address

3290 N Ridge Rd Ste 290
Ellicott City, MD 21043-3657

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