Individual
MS. KARLI BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
455 N 3RD ST, SUITE 200, PHOENIX, AZ 85004-3924
(602) 528-3450
(602) 528-3439
Mailing address
12310 W ORANGE DR, LITCHFIELD PARK, AZ 85340-4145
(602) 403-9423
(623) 266-2827
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3311
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3311
OCCUPATIONAL THERAPIST
AZ
Enumeration date
04/23/2007
Last updated
07/08/2007
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