Individual
FERDINAND BANTILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 SHOEMAKER CT APT 303, MEMPHIS, TN 38103-8787
(901) 338-3676
Mailing address
75 SHOEMAKER CT APT 303, MEMPHIS, TN 38103-8787
(901) 338-3676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4263
TN
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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