Individual
DR. JULIE ANN BANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, FAAOMPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P15518
NC
225100000X
Physical Therapist
Primary
P15518
NC
Other
Enumeration date
03/27/2015
Last updated
05/05/2026
Update your record
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