Individual
JILL RENEE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1018 W MAIN ST, LEBANON, TN 37087-3302
(615) 466-5200
(615) 466-5206
Mailing address
1616 W MAIN ST, LEBANON, TN 37087-3100
(615) 449-0990
(615) 449-0970
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
808
MEDICAL LICENSE, TN
TN
Enumeration date
08/09/2005
Last updated
09/13/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us