Individual
MARLOWE MONTANA BANATAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3555 WHIPPLE RD, UNION CITY, CA 94587-1507
(510) 675-4010
Mailing address
6372 MIRABEAU DR, NEWARK, CA 94560-1763
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
02/11/2022
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