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1124802962
ALEXANDRIA NIKOLE BASTIN
MARIETTA, OH
NPI
1124802962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OH OT011228)
Enumeration Date
2023-08-22
Last Update Date
2023-08-23
Business Address
ALEXANDRIA NIKOLE BASTIN OTD, OTR/L
200 TIMBERLINE DR
MARIETTA, OH 45750-9238
Phone number: 740-376-0535
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Mailing Address
ALEXANDRIA NIKOLE BASTIN OTD, OTR/L
45160 SWAZEY RD
LEWISVILLE, OH 43754-9412
Phone number: 919-320-4598
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