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1164504601
RICHARD ALAN BANTON
RESTON, VA
NPI
1164504601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305006492)
Enumeration Date
2006-10-20
Last Update Date
2023-12-26
Business Address
Mr. RICHARD ALAN BANTON DPT, ATC
12019 CANTER LN
RESTON, VA 20191-2129
Phone number: 703-967-8474
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Mailing Address
Mr. RICHARD ALAN BANTON DPT, ATC
12019 CANTER LN
RESTON, VA 20191-2129
Phone number: 703-967-8474
Copy
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