Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
FAITH BASOLO
Active
Individual
FAITH BASOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
224Z00000X
Occupational Therapy Assistant
057003132
IL
Other
Enumeration date
07/20/2016
Last updated
12/03/2021
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