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Individual

WANDA RENEE BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
9500 ANNAPOLIS RD, SUITE C-4, LANHAM, MD 20706-2060
(301) 577-4333
Mailing address
9500 ANNAPOLIS ROAD, SUITE C-4, LANHAM, MD 20706
(301) 577-4333

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06270
MD

Other

Enumeration date
03/26/2009
Last updated
03/26/2009
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