JEANAMARIE BANTA

PHILADELPHIA, PA
NPI1669014957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT027428)
Enumeration Date2019-10-08
Last Update Date2023-07-19
Business Address
JEANAMARIE BANTA PT, DPT
601 WALNUT ST STE L45
PHILADELPHIA, PA 19106-3323
Phone number: 158-678-7532
Mailing Address
JEANAMARIE BANTA PT, DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: