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1669014957
JEANAMARIE BANTA
PHILADELPHIA, PA
NPI
1669014957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT027428)
Enumeration Date
2019-10-08
Last Update Date
2023-07-19
Business Address
JEANAMARIE BANTA PT, DPT
601 WALNUT ST STE L45
PHILADELPHIA, PA 19106-3323
Phone number: 158-678-7532
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Mailing Address
JEANAMARIE BANTA PT, DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number:
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