LADONNA BANNACH

FARGO, ND
NPI1437231578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ND  796)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: ND  1023903)
Enumeration Date2006-10-19
Last Update Date2012-11-16
Business Address
-- LADONNA BANNACH OTR/L
3001 11TH ST S
FARGO, ND 58103-6048
Phone number: 701-356-0062
Mailing Address
-- LADONNA BANNACH OTR/L
3001 11TH ST S
FARGO, ND 58103-6048
Phone number: 701-356-0062