Individual
MS. JONI M BASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
515 N 7TH ST, FORT SMITH, AR 72901-2015
(479) 856-2504
Mailing address
1604 VALLEY VIEW ST, VAN BUREN, AR 72956-2078
(479) 856-2504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1450
AR
Other
Enumeration date
08/08/2007
Last updated
12/01/2020
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