IndividualActive
Anthony Bastolla, MSPT
NPI 1689705865 · Orthopedic Physical Therapist · Longwood, FL
Provider details
- NPI number
- 1689705865
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT20901 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
705 W State Road 434
Longwood, FL 32750-4907
Phone: (407) 831-6801
Approximate (ZIP-level) locationGet directions
Mailing address
426 Oak Haven Dr
Altamonte Springs, FL 32701-6318
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.