Jan E Banquicio, OTR

NPI #1588827869 in Kokomo, Indiana

Provider Information

NPI Number: 1588827869
Entity Type: Individual
Name: Jan E Banquicio, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 7, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 429 W LINCOLN RD
City: Kokomo
State: Indiana
ZIP Code: 46902-3508
Phone: (765) 453-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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