Individual
DIANA BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13306 A ST, OMAHA, NE 68144-3660
(402) 339-7727
Mailing address
1726 N 206TH ST, ELKHORN, NE 68022-4739
(402) 350-3123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2183
NE
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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