Individual
ROSEANN MICHELLE BASARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1543
(423) 901-1173
Mailing address
126 N 2ND ST, STERLING, CO 80751-4332
(970) 425-7272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000007860
TN
Other
Enumeration date
06/02/2008
Last updated
09/10/2018
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