Provider Demographics
NPI:1831626779
Name:BANH, LINH T (DPT)
Entity type:Individual
Prefix:
First Name:LINH
Middle Name:T
Last Name:BANH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:338 KAMOKILA BLVD
Mailing Address - Street 2:#201
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2055
Mailing Address - Country:US
Mailing Address - Phone:808-674-9998
Mailing Address - Fax:808-674-9877
Practice Address - Street 1:338 KAMOKILA BLVD
Practice Address - Street 2:#201
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2055
Practice Address - Country:US
Practice Address - Phone:808-674-9998
Practice Address - Fax:808-674-9877
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2018-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA23052110452251P0200X
HIPT4682225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics