Vista Therapeutics INC

NPI #1396475273 in Long Beach, New York

Provider Information

NPI Number: 1396475273
Entity Type: Organization
Organization Name: Vista Therapeutics INC
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 36 MICHIGAN ST
City: Long Beach
State: New York
ZIP Code: 11561-1309
Phone: (516) 302-5794

Authorized Official

Name: MR. BASIL DONATO, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (516) 302-5794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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