| Banta Therapy Incorporated | |
|
2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | |
| (321) 446-2742 | |
| Not Available |
| Full Name | Banta Therapy Incorporated |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2565 Judge Fran Jamieson Way, Viera, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316420854 | NPI | - | NPPES |
| 014135100 | Medicaid | FL | |
| 017129500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Banta Therapy Incorporated 2260 Bridgeport Cir, Rockledge, FL 32955-4344 Ph: () - | Banta Therapy Incorporated 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 Ph: (321) 446-2742 |
Simone Bensimon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2565 Judge Fran Jamieson Way, Viera, FL 32940 Phone: 321-432-2575 Fax: 321-504-0955 | |
Regina Wells, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7000 Spyglass Ct, Viera, FL 32940 Phone: 321-241-6543 Fax: 321-241-6513 | |
Marcia Jeddrie, OTR/L, CLT, MT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7000 Spyglass Ct, Suite 120, Viera, FL 32940 Phone: 321-241-6543 Fax: 321-241-6513 | |
Mrs. Linda B Schuneman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7000 Spyglass Ct, Suite 120, Viera, FL 32940 Phone: 321-241-6543 Fax: 321-241-6513 | |
Roxanne Rizzo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2565 Judge Fran Jamieson Way, Viera, FL 32940 Phone: 321-362-8919 Fax: 321-504-0955 |