IndividualActive
Alexandre Banhon, PTA
NPI 1093738452 · Physical Therapy Assistant · Randolph, NJ
Provider details
- NPI number
- 1093738452
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 40QB00165700 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2 Emery Ave
Suite 3
Randolph, NJ 07869-1368
Phone: (973) 895-9925
Fax: (973) 895-9927
Approximate (ZIP-level) locationGet directions
Mailing address
2 Emery Ave
Randolph, NJ 07869-1368
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2008-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.