Individual
KATHRYN ELAINE BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 OLD SPRINGFIELD PIKE, XENIA, OH 45385-1238
(937) 372-3321
Mailing address
104 LEWISTON RD APT 4, KETTERING, OH 45429-2658
(937) 301-4412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012943
OH
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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