MR. Stacey Bankston

NPI #1093041048 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1093041048
Entity Type: Individual
Name: MR. Stacey Bankston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 27, 2009
Last Updated: Oct 27, 2009

Practice Location

Address: 6400 TRINITY DR
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7802
Phone: (870) 879-0638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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