Maura E Banford, OTR/L
Occupational Therapist in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1871548180
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1871548180
- Entity type
- Individual (NPI-1)
- Name
- Maura E Banford
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OC006767L | PA | Yes |
Practice location
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521
Mailing address
4 Village Green CirMountain Top, PA 18707-1710
Phone 570-474-9586
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