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NPI Code Detail

MEDICARE: MRS. MA.CHARITO DEL ROSARIO BASA OTR

MEDICARE: MRS. MA.CHARITO DEL ROSARIO BASA OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist104135TX

General Provider Information

NPI Number : 1649750159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MA.CHARITO DEL ROSARIO BASA OTR
Provider Business Mailing Address
First Line : 8430 CIENNA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77040-1653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7210 NORTHLINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77076-1517
Country : US
Telephone Number : 713-699-2882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 08/15/2018

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Directions to “ MRS. MA.CHARITO DEL ROSARIO BASA OTR” Practice Location

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