CARLY ROSE BANTON

WESTLAKE VILLAGE, CA
NPI1548946312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  304131)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
CARLY ROSE BANTON
4165 E THOUSAND OAKS BLVD STE 150
WESTLAKE VILLAGE, CA 91362
Phone number: 805-371-9116
Mailing Address
CARLY ROSE BANTON
5025 BENEDICT COURT
OAK PARK, CA 91377
Phone number: 818-579-3596
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