Bastian, Marilou

Bastian, Marilou is an sole proprietor health care provider with primary practice located at 4492 Ne Ocean Blvd Apt C1 , Jensen Beach FL 34957-4354. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bastian, Marilou can be contacted via phone (772) 285-9957.

Contact Information

Primary practice address
4492 Ne Ocean Blvd Apt C1 Jensen Beach FL 34957-4354
Phone: (772) 285-9957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT 9616 Florida

Profile Details

NPI number 1124396114
LBN Legal business name Bastian, Marilou
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2011
Last updated Sep 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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