Individual
MR. MARK J BUSINARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2852 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5016
(573) 335-2086
Mailing address
1119 S WEBSTER ST, HARRISBURG, IL 62946-2939
(618) 253-8376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2005037443
MO
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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