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Organization
VISTA THERAPEUTICS INC
Active
Organization
VISTA THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BASIL DONATO OTR/L (OCCUPATIONAL THERAPIST)
(516) 302-5794
Entity
Organization
Contact information
Practice address
36 MICHIGAN ST, LONG BEACH, NY 11561-1309
(516) 302-5794
Mailing address
36 MICHIGAN ST, LONG BEACH, NY 11561-1309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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