SearchSouth Carolina224Z00000X

John Bistis, COTA/L

NPI 1952854317 · on the registry since 2016 · sole proprietor

Practice

Address
3808 Hartnett Blvd
Isle Of Palms, SC 29451
Phone
(908) 209-3730

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina