Individual
MOLLY BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(408) 837-4565
Mailing address
12324 120TH ST, MILACA, MN 56353-4002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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