Bannister, Dorian Beth
Bannister, Dorian Beth is an individual health care provider with primary practice located at 2031 Pottery Ave , Port Orchard WA 98366-2010. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bannister, Dorian Beth can be contacted via phone (360) 876-8035.Contact Information
Primary practice address
2031 Pottery Ave
Port Orchard WA 98366-2010
Phone: (360) 876-8035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 004413 | Georgia |
Profile Details
| NPI number | 1417058710 |
|---|---|
| LBN Legal business name | Bannister, Dorian Beth |
| Credentials | OTR/L CLT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Apr 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417058710 | NPPES |
| Maine | Other | OT1822 | OT LICENSE |
| Maine | Other | 004413 | OT LICENSE |
| Maine | Other | OT600002876 | OT LICENSE |
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