JOHN BISTIS

ISLE OF PALMS, SC
NPI1952854317
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  4783)
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
-- JOHN BISTIS COTA/L
3808 HARTNETT BLVD
ISLE OF PALMS, SC 29451-2533
Phone number: 908-209-3730
Mailing Address
-- JOHN BISTIS COTA/L
3808 HARTNETT BLVD
ISLE OF PALMS, SC 29451-2533
Phone number: 908-209-3730
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