KIM M BANISH

CLARENCE, NY
NPI1174774830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NY  009943)
Enumeration Date2008-09-30
Last Update Date2008-09-30
Business Address
-- KIM M BANISH O.T.R.
8950 SHERIDAN DR
CLARENCE, NY 14031-1420
Phone number: 716-633-1924
Mailing Address
-- KIM M BANISH O.T.R.
8950 SHERIDAN DR
CLARENCE, NY 14031-1420
Phone number: 716-633-1924