Individual
INNA BASANSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
585 MAIN ST, WOODBRIDGE, NJ 07095-1104
(732) 636-5151
Mailing address
7 CLAVENDON CT, MIDDLETOWN, NJ 07748-3533
(732) 991-5699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01498000
NJ
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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