Jan Kenneth Banting, PT, DPT Valid NPI

Individual provider · Physical Therapist · Los Gatos, CA

NPI

1508334863

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

295758 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2018-11-05

Last updated

2020-07-15