Individual
CHRISTIAN BANTASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
CA
225100000X
Physical Therapist
Primary
48983
CA
Other
Enumeration date
06/03/2022
Last updated
12/06/2022
Update your record
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