| Doctor Name: | DONNA BANISTER |
| NPI Number: | 1033281266 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 3589 |
| Business Practice Address: | 190 1st St Gilroy, CA - 950205129 |
| Business Phone Number: | 4087124669 |
| Business Fax Number: | 4088420158 |
| Mailing Address: | Po Box 2104, GILROY |
| State: | CA |
| Postal Code: | 950212104 |
| Phone Number: | 4087124669 |
| Fax Number: | 4088420158 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 06/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 3589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |