Individual provider · Type 1 NPI

Breanda Banoth

Rehabilitation Practitioner · Van Nuys, CA

NPI number 1962984385 Active

Practice location

14624 Sherman Way Ste 404
Van Nuys, CA 91405-2289

Call (818) 778-5406 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1962984385

Breanda Banoth's National Provider Identifier is 1962984385, issued on Aug 31, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 31, 2018.