Individual
MS. RUSTI L WILBANKS
Active
Individual
MS. RUSTI L WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1597
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154573721
—
AR
01
—
PT1597
STATE LICENSE NUMBER
AR
Enumeration date
08/12/2008
Last updated
04/20/2022
Update your record
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