Individual
KARYN BANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 TRIANGLE CENTER #270, LONGVIEW, WA 98632
(360) 501-3750
(360) 501-3755
Mailing address
3991 N 1ST WAY, RIDGEFIELD, WA 98642-8094
(512) 947-5105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60658442
WA
Other
Enumeration date
03/06/2020
Last updated
12/07/2023
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