Search › Maryland › 225100000X
Blake Banner, PT
NPI 1942770342 · on the registry since 2018
Practice
- Address
- 2950 Donnell Dr Ste G
Forestville, MD 20747 - Phone
- (240) 492-3410
- Fax
- (301) 278-9852
- Organisation at this address
- Ati Holding Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 200 Patewood Dr Ste C150, Greenville, SC
- 2875 Crain Hwy Ste 6, Waldorf, MD
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X - Licence states on file
- IL, MD, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-20
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 Maryland