Individual
JAMIE BAKER BANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
287 E HUNT HWY STE 101, SAN TAN VALLEY, AZ 85143-5096
(602) 684-6622
Mailing address
287 E HUNT HWY STE 101, SAN TAN VALLEY, AZ 85143-5096
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-008867
AZ
Other
Enumeration date
03/09/2020
Last updated
02/01/2024
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