Provider Demographics
NPI:1235608324
Name:BANKS, MARGARET (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 VANDERVEER AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2346
Mailing Address - Country:US
Mailing Address - Phone:215-421-9090
Mailing Address - Fax:
Practice Address - Street 1:120 VANDERVEER AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2346
Practice Address - Country:US
Practice Address - Phone:215-421-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015727225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist