Individual
DR. DEVIN BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
398 OLYMPIA DR, MARYVILLE, TN 37804-5701
(865) 233-1080
Mailing address
398 OLYMPIA DR, MARYVILLE, TN 37804-5701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14825
TN
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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