| NPI | 1770909269 |
|---|---|
| Former Name | TRACEY ANN BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 1048) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NE 3500) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2025-11-06 |