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NPI Profile for ROGER J BANNON in COLUMBUS, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1447589767 |
|
| Status | Active | |
| Credentials | OTR, CHT | |
| Entity | Individual | |
| Enumeration date | 12/16/2009 | |
| Last updated | 12/16/2009 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROGER J BANNON
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ROGER J BANNON, OTR, CHT