NPI 1013371806

David Joseph Banta, OTRL

Practitioner Pediatric Occupational Therapist Rockledge, FL

Practice location

Address: 2260 Bridgeport Cir, Rockledge, FL 32955-4344
Phone: (321) 427-0046

Registered specialties

Pediatric Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence OT 17634 (FL)

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Registry record

NPI: 1013371806
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2016
Record last updated: 4 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.