Individual
MRS. AUTUMN REYES BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3423 E HIGHLAND DR, STE. A, JONESBORO, AR 72401-6404
(870) 336-0021
(870) 736-0022
Mailing address
3423 E HIGHLAND DR, STE. A, JONESBORO, AR 72401-6404
(870) 336-0021
(870) 736-0022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2588
AR
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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