Individual
ELIZABETH BANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21345 POWERLINE RD STE 100, BOCA RATON, FL 33433-2307
(551) 883-7800
Mailing address
3661 TURTLE RUN BLVD APT 1211, CORAL SPRINGS, FL 33067-4244
(774) 454-3468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21222
FL
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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