MEDICARE: CLAIRE BUSANTE

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
1	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1891325346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE BUSANTE

Provider Business Mailing Address
First Line	:	27 RIVERSBRIDGE CT
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-9599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2812 GA HIGHWAY 67 S
Second Line	:
City	:	PEMBROKE
State	:	GA
Zip	:	31321-5778
Country	:	US
Telephone Number	:	843-970-2899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	10/29/2023

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Directions to “ CLAIRE BUSANTE ” Practice Location

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