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Individual
MS. MARY JOY BASSANELLO
Active
Individual
MS. MARY JOY BASSANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004495-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225X00000X
SOLE PROVIDER
NY
Enumeration date
11/19/2012
Last updated
11/19/2012
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