Doctor Name: | MR. WIKTOR P BANIA |
NPI Number: | 1629181367 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT 21844 |
Business Practice Address: | 4016 Pga Blvd Palm Beach Gardens, FL - 33410 |
Business Phone Number: | 5617756966 |
Business Fax Number: | |
Mailing Address: | 11134 Oak Way Cir, PALM BEACH GARDENS |
State: | FL |
Postal Code: | 334103316 |
Phone Number: | 5617756966 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 21844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |