Ginger Lynn Banner, OTL

NPI #1124139605 in Athens, Georgia

Provider Information

NPI Number: 1124139605
Entity Type: Individual
Name: Ginger Lynn Banner, OTL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTL
Enumeration Date: Aug 31, 2006
Last Updated: Jun 20, 2019

Practice Location

Address: 1765 OLD WEST BROAD ST
City: Athens
State: Georgia
ZIP Code: 30606-2853
Phone: (706) 549-1663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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