Individual
DANA BASAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 HAMPTON CIR, ROCHESTER HILLS, MI 48307-4103
(248) 853-7555
Mailing address
141 HAMPTON CIR, ROCHESTER HILLS, MI 48307-4103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019530
MI
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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