Individual
DR. ROBERT JOHN BANTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2820 NAPOLEON AVE STE 610, NEW ORLEANS, LA 70115-8208
(504) 894-2709
Mailing address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 894-2709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08374
LA
Other
Enumeration date
08/23/2021
Last updated
09/25/2023
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