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MARLOWE MONTANA BANATAO DPT

Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1659867984

Individual Registrant:
 MARLOWE MONTANA BANATAO DPT
Gender: M
Sole Proprietor

Location and contact information for practice:
3555 WHIPPLE RD  UNION CITY, CA 94587-1507 US
Tel: 510-675-4010  Fax: --

Contact information for business:
6372 MIRABEAU DR  NEWARK, CA 94560-1763 US
Tel: --  Fax: --

Registration Information:
NPI: 1659867984
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Orthopedic

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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