Individual provider · Type 1 NPI

Luke Banda

Physical Therapy Assistant · Port Orange, FL

NPI number 1407304405 Active

Practice location

5535 S Williamson Blvd, Suite 774
Port Orange, FL 32128-8311

Call (888) 265-2680 Map

Mailing address

496 1st St
Conemaugh, PA 15909-1908

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XTE009934 (PA)
Physical Therapy Assistant Primary 225200000X48894 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1407304405

Luke Banda's National Provider Identifier is 1407304405, issued on Sep 19, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 19, 2019.