Individual
MRS. DANIELLE CHRISTINE BANMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-6015
(913) 755-3854
Mailing address
7320 BLACK BOB DR, STILWELL, KS 66085-9501
(913) 484-5234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01750
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-01750
OT STATE LICENSE
KS
01
—
2000155182
MO STATE LICENSE
MO
Enumeration date
03/15/2007
Last updated
07/08/2007
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