JOEL BANNISTER

STAFFORD, VA
NPI1154754455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603662)
Enumeration Date2013-08-10
Last Update Date2013-08-10
Business Address
-- JOEL BANNISTER PTA
2777 JEFFERSON DAVIS HWY SUITE 109
STAFFORD, VA 22554-8323
Phone number: 540-318-8615
Mailing Address
-- JOEL BANNISTER PTA
2777 JEFFERSON DAVIS HWY SUITE 109
STAFFORD, VA 22554-8323
Phone number: 540-318-8615
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