David Joseph Banta
Occupational Therapist - Pediatrics
2260 Bridgeport Cir
Rockledge
, Florida 32955-4344
David Joseph Banta
Occupational Therapist - Pediatrics
2260 Bridgeport Cir
Rockledge
, Florida 32955-4344
(321) 427-0046
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- David Joseph Banta
- 2260 Bridgeport Cir
- Rockledge, FL
- Zip : 32955-4344
- Phone : (321) 427-0046
Second Address
- David Joseph Banta
- 2260 Bridgeport Cir
- Rockledge, FL
- Zip : 32955-4344
- Phone : (321) 427-0046
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 17634 | FL |
National Provider Identifier
| NPI | 1013371806 |
|---|---|
| Provider Name | David Joseph Banta |
| First Address | Rockledge, FL 32955-4344 |
| Second Address | Rockledge, FL 32955-4344 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2016 |
| Last Update Date | 04/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.