Doctor Name: | MR. RICHARD ALAN BANTON |
NPI Number: | 1164504601 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, ATC |
License Number: | 2305006492 |
Business Practice Address: | 1831 Wiehle Ave Ste 200 Reston, VA - 201905200 |
Business Phone Number: | 7037091116 |
Business Fax Number: | 7037095134 |
Mailing Address: | 2509 Fauquier Ln, RESTON |
State: | VA |
Postal Code: | 201914215 |
Phone Number: | 7034764932 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305006492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |