Banner, Blake Ariel

Banner, Blake Ariel is an individual health care provider with primary practice located at 2950 Donnell Dr Ste G , Forestville MD 20747-3277. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Banner, Blake Ariel can be contacted via phone (240) 492-3410.

Contact Information

Primary practice address
2950 Donnell Dr Ste G Forestville MD 20747-3277
Phone: (240) 492-3410
Fax: (301) 278-9852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070026352 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 27579 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05015177A Indiana

Profile Details

NPI number 1942770342
LBN Legal business name Banner, Blake Ariel
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2018
Last updated May 20th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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