Individual provider · NPI-1

Wiktor P Bania, MPT

Physical Therapist · Palm Beach Gardens, FL

NPI number1629181367
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629181367
Entity type
Individual (NPI-1)
Name
Mr. Wiktor P Bania
Credential
MPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT 21844FLYes

Practice location

4016 Pga Blvd
Palm Beach Gardens, FL 33410

Phone 561-775-6966

Mailing address

11134 Oak Way Cir
Palm Beach Gardens, FL 33410-3316

Phone 561-775-6966

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