Individual
HEATHER SUTTON BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 HAMPTON WOODS COMPLEX, JACKSON, NC 27845-9503
(252) 534-4521
(252) 534-4521
Mailing address
200 HAMPTON WOODS COMPLEX, JACKSON, NC 27845-9503
(252) 534-4521
(252) 534-4521
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3344
NC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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