National Provider Identifier

Kim M Banish, O.T.R.

Kim M Banish, O.T.R. is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Clarence, NY and a listed phone number of (716) 633-1924.

NPI 1174774830Clarence, NYPediatric Occupational Therapist

Profile Overview

NPI
1174774830
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
September 30, 2008
Last Updated
September 30, 2008

Practice Location

  • 8950 Sheridan Dr
  • Clarence, NY 14031-1420

Phone: (716) 633-1924

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1174774830
Entity Type
Individual
Last Name
Banish
First Name
Kim
Middle Name
M
Credential
O.T.R.
Mailing Street Address
8950 Sheridan Dr
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-1420
Mailing Country
US
Mailing Phone
(716) 633-1924
Practice Street Address
8950 Sheridan Dr
Practice City
Clarence
Practice State
NY
Practice ZIP Code
14031-1420
Practice Country
US
Practice Phone
(716) 633-1924
Enumeration Date
September 30, 2008
Last Updated
September 30, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)