Jack Thomas Banister
ActiveCalifornia license 21176
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 21176
- Status
- Active (Current)
- First issued
- April 21, 2020
- Expires
- July 31, 2028
- License holder
- Jack Thomas Banister
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
7220 Yorktown Dr
Gilroy, CA 95020-6329
Gilroy, CA 95020-6329
Santa Clara County