Individual
MEAGHAN ASHLEY BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9020 SENCA DR STE 220, WILMINGTON, NC 28411-6680
(910) 264-9317
(910) 442-8372
Mailing address
9020 SENCA DR STE 220, WILMINGTON, NC 28411-6680
(910) 264-2317
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17867
NC
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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