NPI 1295079440 · live from the CMS NPI Registry
Banu Melissa Acan, DPT
Physical Therapist in Lakewood Ranch, FL. National Provider Identifier 1295079440, active.
NPI record
| NPI | 1295079440 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 7357 International Pl, Lakewood Ranch, FL 34240 |
| Practice phone | 941-500-9292 |
| Enumerated | November 11, 2012 |
| Last updated | January 29, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 9170 (MN) |
| Physical Therapist primary | 225100000X | 30466 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.