Individual
MS. REBECCA J BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
302 E BURDICK AVE, MILWAUKEE, WI 53207-2732
(414) 469-1450
(414) 481-3334
Mailing address
302 E BURDICK AVE, MILWAUKEE, WI 53207-2732
(414) 469-1450
(414) 481-3334
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
681-27
WI
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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