person
Mr. Kraig Y Bano, MPTCHT
Hand Physical Therapist in Philadelphia, Pennsylvania
NPI 1558376434

Kraig Y Bano is a Hand Physical Therapist based in Bolingbrook, PA and is specialized in Hand. Kraig Y Bano practices in Philadelphia, PA and has the professional credentials of MPTCHT. The NPI Number for Kraig Y Bano is 1558376434 and holds a License No. PT011023L (Pennsylvania).

The current practice location address for Kraig Y Bano is 9475 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-464-6200 and via fax at 215-464-9834. You can also correspond with Kraig Y Bano through the mailing address at 790 REMINGTON BLVD, BOLINGBROOK, IL - 60440-4909 (mailing address contact number: ).

Location: 9475 Roosevelt Blvd, Philadelphia, PA, 60440-4909
person
Provider Profile Details
NPI Number
1558376434
Provider Name
Kraig Y Bano
Credential
MPTCHT
Provider Entity Type
Individual
Gender
Male
Address
9475 Roosevelt Blvd, Philadelphia, PA, 60440-4909
Phone Number
215-464-6200
Fax Number
215-464-9834
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5070-0003 01 CARE FIRST
61809102 01 CAREFIRST
1667747 01 PABS
1000037582 05 DE
234323000 01 IBC
institution
Provider Business Practice Location Address Details
Address
9475 Roosevelt Blvd
City
State
Zip
19114-2212
Phone Number
215-464-6200
Fax Number
215-464-9834
person
Provider Business Mailing Address Details
Address
790 Remington Blvd
City
State
Zip
60440-4909
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Hand
Taxonomy
License No.
PT011023L (Pennsylvania)
Definition
Definition to come...
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