Individual
MR. KRAIG Y BANO
Active
Individual
MR. KRAIG Y BANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT CHT
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
PT011023L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037582
—
DE
01
—
1667747
PABS
—
01
—
234323000
IBC
—
01
—
5070-0003
CARE FIRST
—
01
—
61809102
CAREFIRST
—
Enumeration date
07/29/2006
Last updated
09/25/2013
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