Individual
HEATHER BASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
5125 N UNION BLVD, # 130, COLORADO SPRINGS, CO 80918-2076
(719) 598-5555
Mailing address
8937 COLORADO BLVD, APT. 102, THORNTON, CO 80229-8829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004101
CO
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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