IndividualActive
Angelique Bannister, DPT
NPI 1962499780 · Sports Physical Therapist · Quantico, VA
Provider details
- NPI number
- 1962499780
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 40QA01006400 (NJ)
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.