Organization
BANKS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWANETTE BANKS OT/L, CLT (OCCUPATIONAL THERAPIST)
(904) 707-1355
Entity
Organization
Contact information
Practice address
12522 LAKE MADISON LN, JACKSONVILLE, FL 32218-7539
(904) 707-1355
Mailing address
12522 LAKE MADISON LN, JACKSONVILLE, FL 32218-7539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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