Mark Anthony Abel Basco, OTR/L

Occupational Therapist · Herrin, IL

Individual Active NPI

NPI number 1457505299

Practice location

201 S 14TH St
Herrin, IL 62948-3631
Phone
(618) 942-2171
Fax
(618) 351-4926

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NPI record

NPI
1457505299
Entity type
Individual (Type 1)
Enumeration date
November 6, 2008
Last updated
November 6, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 056.008374 IL

About Mark Anthony Basco

Mark Anthony Abel Basco, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 201 S 14TH St, Herrin, IL 62948-3631. The NPI number 1457505299 was assigned on November 6, 2008 and the record was last updated on November 6, 2008.

Mark Anthony Basco lists a license in the registry: #056.008374 (IL) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Anthony Abel Basco, OTR/L?

The NPI number is 1457505299.

What is the phone number of Mark Anthony Basco?

The phone number listed for the practice location is (618) 942-2171.

Where is Mark Anthony Basco located?

201 S 14TH St, Herrin, IL 62948-3631.

What is the taxonomy code for Mark Anthony Basco?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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