Individual ProviderWiktor P BaniaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4016 Pga Blvd, Palm Beach Gardens, FL 33410(561) 775-6966PECOS EnrollmentBased on the most recent information from CMS, provider Wiktor P Bania does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1629181367Provider TypeIndividualFull NameBania, Wiktor PTitleMr.CredentialMPTGenderMaleSole ProprietorNoEnumeration Date8/16/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4016 Pga Blvd, Palm Beach Gardens, FL 33410Phone(561) 775-6966FaxUnlisted FaxMailing LocationMailing Address11134 Oak Way Cir, Palm Beach Gardens, FL 33410-3316Phone(561) 775-6966FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 21844Florida