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Individual

MR. JOSEPH R. BASANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA,MS,OTR,CHT,CEAS

Contact information

Practice address
114 SANDHILL DR, SUITE 103, KETLAY PLAZA, MIDDLETOWN, DE 19709-5805
(302) 285-0700
(302) 285-0701
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0001183
DE
225XH1200X
Hand Occupational Therapist
46TR00208700
NJ

Other

Enumeration date
04/25/2007
Last updated
12/12/2014
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