Individual
JANNE MARCELA BASANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12730 SW 18TH ST, MIRAMAR, FL 33027-2509
(786) 419-0376
Mailing address
12730 SW 18TH ST, MIRAMAR, FL 33027-2509
(786) 419-0376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8237
FL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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