MR. Mark T Bastan, DPT

NPI #1124139936 in Warwick, Rhode Island

Provider Information

NPI Number
1124139936
Entity Type
Individual
Name
MR. Mark T Bastan, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
535 CENTERVILLE RD
Address 2
SUITE 101
ZIP Code
02886-4376
Phone
(401) 737-4581

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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