Banta Therapy Incorporated

NPI #1316420854 in Viera, Florida

Provider Information

NPI Number: 1316420854
Entity Type: Organization
Organization Name: Banta Therapy Incorporated
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 2565 JUDGE FRAN JAMIESON WAY
City: Viera
State: Florida
ZIP Code: 32940-5998
Phone: (321) 446-2742

Authorized Official

Name: CAYLEE BANTA, OTD, OTR/L
Title: OWNER
Phone: (321) 446-2742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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