Organization
KEYSTONE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY L BANKSTON SR. (THERAPIST)
(870) 941-3644
Entity
Organization
Contact information
Practice address
3000 GRANT 52, SHERIDAN, AR 72150-8114
(870) 941-3644
Mailing address
3000 GRANT 52, SHERIDAN, AR 72150-8114
(870) 941-3644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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