Provider Demographics
NPI:1811946999
Name:ASTONE, ERIC G (MPT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:G
Last Name:ASTONE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3400 CALLOWAY DR STE 603
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2514
Mailing Address - Country:US
Mailing Address - Phone:661-377-1700
Mailing Address - Fax:661-616-9199
Practice Address - Street 1:2960 E NEES AVE STE 108
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-6012
Practice Address - Country:US
Practice Address - Phone:559-322-4103
Practice Address - Fax:661-616-9199
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT22219225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT22219AMedicare ID - Type Unspecified