Individual
MICHAEL BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
405 S GREENE ST., WADESBORO, NC 28170
(704) 695-3301
Mailing address
407 LANCASTER AVE, MONROE, NC 28112-5961
(864) 561-6946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13926
NC
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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