Individual provider · Type 1 NPI

Mark Anthony Abel Basco, OTR/L

Occupational Therapist · Herrin, IL

NPI number 1457505299 Active

Practice location

201 S 14th St
Herrin, IL 62948-3631

Call (618) 942-2171 Map

Fax (618) 351-4926

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.008374 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1457505299

Mark Anthony Abel Basco, OTR/L's National Provider Identifier is 1457505299, issued on Nov 6, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Herrin, IL. The record was last updated on Nov 6, 2008.