Individual
MS. RACHEAL J BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2829 S CALIFORNIA AVE, CHICAGO, IL 60608-5106
(773) 847-8061
Mailing address
2829 S CALIFORNIA AVE, CHICAGO, IL 60608-5106
(773) 847-8061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002957
IL
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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