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Individual
MRS. KRISTINA ANJALI DE LA BASTIDE
Active
Individual
MRS. KRISTINA ANJALI DE LA BASTIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63016461
NY
225XH1200X
Hand Occupational Therapist
016461
NY
Other
Enumeration date
09/12/2013
Last updated
09/05/2018
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