Individual
ANTWANETTE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3756 W 3RD ST, HILLIARD, FL 32046-6846
(904) 845-3988
Mailing address
11800 RAINDROP RD, JACKSONVILLE, FL 32219-5168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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