Individual
MS. BAN'KETISHA ADONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15540 KENSINGTON TRL, CLERMONT, FL 34711-8138
(407) 414-6110
Mailing address
15540 KENSINGTON TRL, CLERMONT, FL 34711-8138
(407) 414-6110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18508
FL
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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