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Heather Baniak, PT

NPI 1316177637 · on the registry since 2009

Practice

Address
2454 West Clay
St Charles, MO 63301
Phone
(636) 949-3926
Fax
(636) 949-3928

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri