Doctor Name: | WANDA RENEE BANKS |
NPI Number: | 1346482064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, OTR/L |
License Number: | 06270 |
Business Practice Address: | 9500 Annapolis Rd Suite C-4 Lanham, MD - 207062060 |
Business Phone Number: | 3015774333 |
Business Fax Number: | |
Mailing Address: | 9500 Annapolis Road, Suite C-4 LANHAM |
State: | MD |
Postal Code: | 20706 |
Phone Number: | 3015774333 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2009 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 06270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |