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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174592935 NPPES
Florida MEDICAID 880152500
Florida MEDICAID 880152501

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