Most Relevant Information
Provider Data
| NPI Number: | 1003270356 |
| Provider Name: | KATHERINE BANKS ATR-BC, LCAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 0013301 |
Most Important Dates
| Enumeration Date: | 04/12/2016 |
| Last Updated: | 04/12/2016 |
Provider Practice Location
10907 222ND ST
QUEENS VILLAGE
NY
114292532
Practice Location Phone/Fax
| Phone: | 9174071014 |
| Fax: |
Provider Mailing Location
10907 222ND ST
QUEENS VILLAGE
NY
114292532
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |