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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN BISTIS, COTA/L

Active Sole Proprietor

JOHN BISTIS, COTA/L is a Occupational Therapy Assistant healthcare provider located in ISLE OF PALMS, South Carolina. NPI 1952854317 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ISLE OF PALMS, SC

Registration Details

NPI Number
1952854317
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2016 (9.8493556049145 yrs)
Last Updated
Aug 2, 2016
License
4783 (SC)
Sole Proprietor
Yes

Practice Information

Address
3808 HARTNETT BLVD
ISLE OF PALMS, SC, 294512533
Browse SC providers · Browse ZIP 29451
Phone
9082093730
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.