Individual
MISS NATALIE VALERIE BASINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.CL.SC.OT.
Contact information
Practice address
71 PLANTATION HOUSE DR, BLUFFTON, SC 29910
(843) 321-8341
Mailing address
71 PLANTATION HOUSE DR, BLUFFTON, SC 29910-4774
(843) 321-8341
(843) 706-9050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3836
SC
225X00000X
Occupational Therapist
Primary
3836
SC
225XP0200X
Pediatric Occupational Therapist
3836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059568
NBCOT
MD
05
—
165960721
—
AR
01
—
OT#3836
SOUTH CAROLINA OT BOARD
SC
01
—
OTR# 2119
AR STATE MEDICAL BOARD
AR
Enumeration date
09/18/2007
Last updated
06/15/2018
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