Individual
MS. DAYNA K. WILLBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
106 E 3RD ST, MOSCOW, ID 83843-2970
(509) 432-1575
(509) 332-8045
Mailing address
455 NW ROBERT ST, PULLMAN, WA 99163-3640
(509) 432-1575
(509) 332-8045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT406
ID
Other
Enumeration date
01/12/2007
Last updated
08/31/2010
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