Individual
STEPHANIE MARIE BASISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
125 SHELLEY RD, MERIDEN, CT 06451-4980
(203) 996-8525
Mailing address
125 SHELLEY RD, MERIDEN, CT 06451-4980
(203) 996-8525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2002
CT
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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