Individual
ANDREA JANE BANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
735 W CHANNEL ISLANDS BLVD, PORT HUENEME, CA 93041-2130
(805) 250-7505
Mailing address
360 MIKE LOZA DR UNIT 307, CAMARILLO, CA 93012-8913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
309639
CA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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