Individual
DONNA BANISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
190 1ST ST, GILROY, CA 95020-5129
(408) 712-4669
(408) 842-0158
Mailing address
PO BOX 2104, GILROY, CA 95021-2104
(408) 712-4669
(408) 842-0158
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3589
CA
Other
Enumeration date
11/14/2006
Last updated
06/09/2011
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