Individual
DR. DANIEL BASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
30655 HOOVER RD, WARREN, MI 48093-6537
(586) 574-1200
(586) 574-9425
Mailing address
44439 PINE DR, STERLING HEIGHTS, MI 48313-1254
(513) 582-7657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018907
MI
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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