STACY BANES

NPI: 1548477318 · Individual · Active

Primary Specialty

Occupational Therapist

Practice Location

101 MILLS ST
BROOKHAVEN, MS 39601-2521 Map ↗
Phone: 601-823-5567

All Specialties & Licenses

  • Occupational Therapist Primary (license: OT0367, MS)

NPI Registration

Enumerated: 2007-05-17

Last CMS Update: 2009-12-29