DAVID JOSEPH BANTA

ROCKLEDGE, FL
NPI1013371806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: FL  OT 17634)
Enumeration Date2016-04-07
Last Update Date2018-06-04
Business Address
DAVID JOSEPH BANTA OTR/L
2260 BRIDGEPORT CIR
ROCKLEDGE, FL 32955-4344
Phone number: 321-427-0046
Mailing Address
DAVID JOSEPH BANTA OTR/L
2260 BRIDGEPORT CIR
ROCKLEDGE, FL 32955-4344
Phone number: 321-427-0046
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