Individual
MR. TIMOTHY PATRICK BANISH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8650 GOVERNORS HILL DR, SUITE 180, CINCINNATI, OH 45249-1372
(866) 791-5766
(513) 683-1500
Mailing address
1610 BRUCE AVE, CINCINNATI, OH 45223-2002
(513) 542-6847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA02490
OH
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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