Individual
COLLEEN BANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3927 TWELVE MILE CREEK RD, MATTHEWS, NC 28104-9236
(704) 296-6317
Mailing address
3927 TWELVE MILE CREEK RD, MATTHEWS, NC 28104-9236
(704) 296-6317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6086
NC
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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