RICKY J BASTARACHE PT

MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE LLC

Dr RICKY J BASTARACHE PT is a male medical professional, specializing in Physical Therapy. He graduated in 2005.

Contact

MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE LLC

12787 S SAGINAW ST
4 ATI PHYSICAL THERAPY
GRAND BLANC
MI
484391830

Tel: 8107717631

RICKY J BASTARACHE PT Information

Npi 1598742397
Pac Id 4789699190
Professional Enrollment Id I20060208000025
Last Name BASTARACHE
First Name RICKY
Middle Name J
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE LLC
Group Practice Pac Id 6204730393
Number Of Group Practice Members 193
Line 1 Street Address 12787 S SAGINAW ST
Line 2 Street Address 4 ATI PHYSICAL THERAPY
Marker Of Address Line 2 Suppression
City GRAND BLANC
State MI
Zip Code 484391830
Phone Number 8107717631
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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