JAN KENNETH BANTING

LOS GATOS, CA
NPI1508334863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  295758)
Enumeration Date2018-11-05
Last Update Date2020-07-15
Business Address
JAN KENNETH BANTING PT, DPT
340 DARDANELLI LN STE 10
LOS GATOS, CA 95032-1418
Phone number: 408-412-8100
Mailing Address
JAN KENNETH BANTING PT, DPT
340 DARDANELLI LN STE 10
LOS GATOS, CA 95032-1418
Phone number: 408-412-8110
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