Individual
JOSHUA BASENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-5688
Mailing address
2623 LAMON CHAPEL RD, JASPER, AL 35503-4365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5856
AL
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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