Lynn Bastuk, PTA

NPI #1790103810 in Oregon, Illinois

Provider Information

NPI Number: 1790103810
Entity Type: Individual
Name: Lynn Bastuk, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 4, 2014
Last Updated: Apr 4, 2014

Practice Location

Address: 810 WASHINGTON ST
City: Oregon
State: Illinois
ZIP Code: 61061-1522
Phone: (815) 732-4139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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