Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID JOSEPH BANTA, OTR/L
Active Sole ProprietorDAVID JOSEPH BANTA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in ROCKLEDGE, Florida. NPI 1013371806 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · ROCKLEDGE, FL
Registration Details
- NPI Number
- 1013371806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2016 (10.337980051768 yrs)
- Last Updated
- Jun 4, 2018
- License
-
OT 17634 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2260 BRIDGEPORT CIRROCKLEDGE, FL, 329554344Browse FL providers · Browse ZIP 32955
- Phone
- 3214270046
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.