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1831812296
INNA BASANSKAYA
WOODBRIDGE, NJ
NPI
1831812296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01498000)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
INNA BASANSKAYA DPT
585 MAIN ST
WOODBRIDGE, NJ 07095-1104
Phone number: 732-636-5151
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Mailing Address
INNA BASANSKAYA DPT
7 CLAVENDON CT
MIDDLETOWN, NJ 07748-3533
Phone number: 732-991-5699
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