GINGER LYNN BANNER

ATHENS, GA
NPI1124139605
Former NameGINGER LYNN BUTTRAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT003203)
Enumeration Date2006-08-31
Last Update Date2019-06-20
Business Address
GINGER LYNN BANNER OTL
1765 OLD WEST BROAD ST
ATHENS, GA 30606-2853
Phone number: 706-549-1663
Mailing Address
GINGER LYNN BANNER OTL
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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