Bradley Allan Banas, PT
Physical Therapist in Rochester Hills, MI. Individual provider (NPI-1).
NPI number1164097697
StatusActive
Last updated in NPPESMay 26, 2021
Details
- NPI
- 1164097697
- Entity type
- Individual (NPI-1)
- Name
- Bradley Allan Banas
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2021
- Certification date
- May 17, 2021
- Last updated
- May 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501019953 | MI | Yes |
Practice location
2226 Crooks RdRochester Hills, MI 48309
Phone 248-289-3584
Mailing address
1773 Star Batt DrRochester Hills, MI 48309-3708
Phone 248-601-9207
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