Individual
COURTNEY LYNN BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-4837
Mailing address
7081 T ERMINGER LN, SOUTH LYON, MI 48178-9600
(248) 719-5528
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
15168
MA
Other
Enumeration date
12/30/2016
Last updated
11/27/2023
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