Heather Sutton Banks, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Jackson, NC

NPI 1003082249 · NPPES record last updated May 7, 2008

Key facts

NPI
1003082249
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3344 (NC)
Practice address
200 Hampton Woods Complex
Jackson, NC 27845-9503
Phone
(252) 534-4521
Fax
(252) 534-4521
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3344 NC Yes

Addresses

Primary practice location

200 Hampton Woods Complex
Jackson, NC 27845-9503

Mailing address

200 Hampton Woods Complex
Jackson, NC 27845-9503
Phone (252) 534-4521

Other providers in Jackson, NC

All providers in Jackson, NC · Occupational Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.