Individual
COURTNEY TAYLOR BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
170 LAKE ST, LIBERTY, NY 12754-1966
(845) 292-4200
Mailing address
5 SOUTHGATE RD APT 25, MIDDLETOWN, NY 10940-2056
(607) 267-8493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022053
NY
225X00000X
Occupational Therapist
19486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
NY
Enumeration date
12/17/2019
Last updated
12/17/2019
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