Individual
MS. MARY BASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17045 EL CAMINO REAL STE 106, HOUSTON, TX 77058-2623
(281) 480-5648
(281) 480-5691
Mailing address
419 MAGNOLIA WAY, LEAGUE CITY, TX 77573-3782
(281) 554-6481
(281) 480-5691
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100169
TX
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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