MR. James M Bastianelli, P.T.

NPI #1205165321 in Newark, Delaware

Provider Information

NPI Number: 1205165321
Entity Type: Individual
Name: MR. James M Bastianelli, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Dec 19, 2009
Last Updated: Dec 19, 2009

Practice Location

Address: 28 DUBLIN DR
City: Newark
State: Delaware
ZIP Code: 19702-7708
Phone: (302) 295-5317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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