Individual
MRS. TAYLOR A BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
142 SPORTSMAN ISLAND DR STE F, CHARLESTON, SC 29492-8524
(843) 377-8820
(843) 377-8823
Mailing address
5111 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
(843) 804-9033
(843) 804-9020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9161
SC
Other
Enumeration date
06/07/2018
Last updated
02/22/2021
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