Individual
CANDYCE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
640 E 168TH PL, SOUTH HOLLAND, IL 60473-3018
(708) 333-7812
Mailing address
152 E 162ND LN, SOUTH HOLLAND, IL 60473-2197
(773) 383-7127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015267
IL
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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