Stacy Banes Valid NPI

Individual provider · Occupational Therapist · Brookhaven, MS

NPI

1548477318

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

OT0367 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-17

Last updated

2009-12-29