Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krystal Banner, OCCUPATIONALTHERAPY

Individual provider Occupational Therapist · NPI 1396249611

Krystal Banner, OCCUPATIONALTHERAPY is an Occupational Therapist in Montclair, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Phone: (909) 971-3092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 15930 (CA)

Record details

NPI number1396249611
Entity typeIndividual (Type 1)
GenderFemale
Credentials OCCUPATIONALTHERAPY
Sole proprietorYes
NPI enumeratedMarch 21, 2018
Last updated in NPPESMarch 21, 2018

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