Doctor Name: | JOHN JUDE BASTI |
NPI Number: | 1205863438 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | QA02804 |
Business Practice Address: | 3 Progress St Suite 107 Edison, NJ - 088201180 |
Business Phone Number: | 9082229696 |
Business Fax Number: | 9082229698 |
Mailing Address: | 3 Progress St, Suite 107 EDISON |
State: | NJ |
Postal Code: | 088201180 |
Phone Number: | 9082229696 |
Fax Number: | 9082229698 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 05/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA02804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |