Caroline S Bankston, PTA
Physical Therapy Assistant in Crystal Springs, MS. Individual provider (NPI-1).
NPI number1982257598
StatusActive
Last updated in NPPESJul 23, 2019
Details
- NPI
- 1982257598
- Entity type
- Individual (NPI-1)
- Name
- Caroline S Bankston
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Jul 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA6727 | MS | Yes |
Practice location
117 Bo Bo DrCrystal Springs, MS 39059-2741
Phone 601-892-6330 · Fax 601-892-6331
Mailing address
8205 Presidents DrHummelstown, PA 17036-8621
Phone 717-839-2188 · Fax 717-565-1104
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