Individual
KALEIGH LYNN BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44 NICOLLE TER, GARDNER, MA 01440-4237
(585) 944-5227
Mailing address
44 NICOLLE TER, GARDNER, MA 01440-4237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13136
MA
Other
Enumeration date
03/13/2022
Last updated
09/26/2023
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