Richard Alan Banton, DPT, ATC
Physical Therapist in Reston, VA. Individual provider (NPI-1).
NPI number1164504601
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1164504601
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Alan Banton
- Credential
- DPT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2006
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305006492 | VA | Yes |
Practice location
12019 Canter LnReston, VA 20191-2129
Phone 703-967-8474
Mailing address
12019 Canter LnReston, VA 20191-2129
Phone 703-967-8474
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