Individual
MS. DANA BASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
150 SOUTHFIELD AVE, APT 1112, STAMFORD, CT 06902-7756
(917) 887-2737
Mailing address
150 SOUTHFIELD AVE, APT 1112, STAMFORD, CT 06902-7756
(917) 887-2737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013771-1
NY
Other
Enumeration date
12/18/2008
Last updated
09/13/2011
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