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1104499763
EMILY BANTA
OVIEDO, FL
NPI
1104499763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
EMILY BANTA DPT
8000 RED BUG LAKE RD STE 140
OVIEDO, FL 32765-9265
Phone number: 407-359-5211
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Mailing Address
EMILY BANTA DPT
8882 WARWICK SHORE XING
ORLANDO, FL 32829-8028
Phone number:
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