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MR. JOHN J BANIA PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1902101322

Individual Registrant:
MR. JOHN J BANIA PTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1801 FOREST HILLS BLVD STE# 205 BELLA VISTA, AR 72715-3016 US
Tel: 479-855-9348  Fax: 479-855-9358

Contact information for business:
1801 FOREST HILLS BLVD STE# 205 BELLA VISTA, AR 72715-3016 US
Tel: 479-855-9348  Fax: 479-855-9358

Registration Information:
NPI: 1902101322
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ARPTA 2279

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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