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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

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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