Individual
KAYLA ANN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
(864) 622-2625
Mailing address
117 VALLEY BLUFF LN, SIMPSONVILLE, SC 29680-7659
(864) 561-2508
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
3156
SC
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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