Individual
LYNN BASTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
810 WASHINGTON ST, OREGON, IL 61061-1522
(815) 732-4139
Mailing address
810 WASHINGTON ST, OREGON, IL 61061-1522
(815) 732-4139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005870
IL
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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