Individual
MRS. CARLA ANN BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8705 PEGASUS DR, LEHIGH ACRES, FL 33971-3772
(239) 337-0265
Mailing address
8705 PEGASUS DR, LEHIGH ACRES, FL 33971-3772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11529
FL
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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