MARK T BASTAN

WARWICK, RI
NPI1124139936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  PT02008)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mr. MARK T BASTAN DPT
535 CENTERVILLE RD SUITE 101
WARWICK, RI 02886-4376
Phone number: 401-737-4581
Mailing Address
Mr. MARK T BASTAN DPT
535 CENTERVILLE RD SUITE 101
WARWICK, RI 02886-4376
Phone number: 401-737-4581