Individual
MR. HENRY A BANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10561 JEFFREYS ST, SUITE 200, HENDERSON, NV 89052-4179
(702) 407-9431
(702) 407-9461
Mailing address
3602 E SUNSET RD, SUITE 100, LAS VEGAS, NV 89120-7202
(702) 932-4308
(702) 837-8930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
993
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506625
—
NV
Enumeration date
07/15/2005
Last updated
12/10/2009
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