Individual
KRISTINA BANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08967
MD
225X00000X
Occupational Therapist
U1-0002166
DE
Other
Enumeration date
08/06/2021
Last updated
10/10/2022
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