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SHELLEY BANKS OTR/L
Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1861083818
Individual Registrant: SHELLEY BANKS OTR/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
821 GREENWOOD DR LODI, CA 95240-0433 US
Tel: 209-327-3309 Fax: --
Tel: 209-327-3309 Fax: --
Contact information for business:
821 GREENWOOD DR LODI, CA 95240-0433 US
Tel: 209-327-3309 Fax: --
Tel: 209-327-3309 Fax: --
Registration Information:
NPI: 1861083818
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Pediatrics | CA | 6053 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
