ROGER JAMES BANNON

COLUMBUS, GA
NPI1447589767
Former NameROGER JAMES KOON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: GA  OT002316)
Enumeration Date2009-12-16
Last Update Date2009-12-16
Business Address
Mr. ROGER JAMES BANNON OTR, CHT
3645 GENTIAN BLVD SUITE 1
COLUMBUS, GA 31907-5687
Phone number: 706-507-4433
Mailing Address
Mr. ROGER JAMES BANNON OTR, CHT
3645 GENTIAN BLVD SUITE 1
COLUMBUS, GA 31907-5687
Phone number: 706-507-4433
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