Individual provider · Type 1 NPI

Misty June Bastian, OTR/L

Occupational Therapist · Duluth, MN

NPI number 1386819712 Active

Practice location

2501 Rice Lake Rd
Duluth, MN 55811-4819

Call (218) 625-6442 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4588-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1386819712

Misty June Bastian, OTR/L's National Provider Identifier is 1386819712, issued on Apr 27, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Duluth, MN. The record was last updated on Apr 27, 2008.