| NPI | 1073988804 |
|---|---|
| Former Name | ANDREA MARIE BANKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 043017-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3244) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2020-07-20 |