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NPI Code Detail

MEDICARE: MS. CAMILLE BANAY O.T.

MEDICARE: MS. CAMILLE BANAY O.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225X00000XOccupational Therapist6617TN
3225X00000XOccupational Therapist61570199WA

General Provider Information

NPI Number : 1083816995
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAMILLE BANAY O.T.
Provider Business Mailing Address
First Line : 2219 RIMLAND DR STE 301
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8759
Country : US
Telephone Number : 865-352-4077
Fax Number :
Provider Business Practice Location Address
First Line : 2219 RIMLAND DR STE 301
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8759
Country : US
Telephone Number : 865-352-4077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2007
Last Update Date : 05/17/2025

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Directions to “ MS. CAMILLE BANAY O.T.” Practice Location

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