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1992287221
TRAVIS BANKS
LAYTON, UT
NPI
1992287221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 10962470-4201)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
TRAVIS BANKS OTR/L
1992 W ANTELOPE DR STE 1D
LAYTON, UT 84041-4974
Phone number: 801-773-2633
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Mailing Address
TRAVIS BANKS OTR/L
3681 S 2000 E APT 2
SALT LAKE CITY, UT 84109-4319
Phone number: 435-659-7552
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