Individual
KARI LYNN BASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6433 ALMONT DR, BROOK PARK, OH 44142-3654
(216) 676-5568
Mailing address
6433 ALMONT DR, BROOK PARK, OH 44142-3654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000888
OH
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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