Nastan, Mary L
Nastan, Mary L is an sole proprietor health care provider with primary practice located at 11808 Marsh Head Rd , Sarasota FL 34240-8883. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Nastan, Mary L can be contacted via phone (941) 378-5249.Contact Information
Primary practice address
11808 Marsh Head Rd
Sarasota FL 34240-8883
Phone: (941) 378-5249
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2278 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2278 | Florida |
Profile Details
NPI number | 1174592935 |
---|---|
LBN Legal business name | Nastan, Mary L |
Credentials | Registered Physical Therapist (RPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2006 |
Last updated | Jul 27th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174592935 | NPPES |
Florida | MEDICAID | 880152500 | |
Florida | MEDICAID | 880152501 |
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