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Eric Matthew Banik, PT, DPT

Physical Therapist in Live Oak, TX. Individual provider (NPI-1).

NPI number1306299383
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1306299383
Entity type
Individual (NPI-1)
Name
Eric Matthew Banik
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2016
Certification date
Mar 25, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1374577TXYes
225100000X Physical Therapist–GA

Practice location

7939 Pat Booker Rd Ste 120
Live Oak, TX 78233-2776

Phone 210-660-2345 · Fax 210-446-1442

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

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