Individual
ERIC J BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
18000 COVE ST STE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290
Mailing address
18000 COVE ST STE 202, SPRING LAKE, MI 49456-1383
(616) 847-1280
(616) 847-1290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014111
MI
Other
Enumeration date
10/28/2008
Last updated
07/13/2020
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