| Doctor Name: | SUZANNE F BASTOS |
| NPI Number: | 1407071632 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 007917 |
| Business Practice Address: | 1050 Ne 125th St North Miami, FL - 331615805 |
| Business Phone Number: | 3058918850 |
| Business Fax Number: | 3053579372 |
| Mailing Address: | 166 Round Hill Rd, NAUGATUCK |
| State: | CT |
| Postal Code: | 067701631 |
| Phone Number: | 2039101863 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 007917 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| 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 |