Individual
JENNIFER BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
945 E SHERMAN BLVD, MUSKEGON, MI 49444-1805
(231) 737-4374
(231) 830-9196
Mailing address
945 E SHERMAN BLVD, MUSKEGON, MI 49444-1805
(231) 737-4374
(231) 830-9196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014140
MI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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