CAROLINE S BANKSTON PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1982257598- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 117 BO BO DR, CRYSTAL SPRINGS, MS, 390592741
- Phone
- (601) 892-6330
- Fax
- (601) 892-6331
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: MS #PTA6727