Individual
GALILEO MARRIED BASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7411 N NEVADA ST, SPOKANE, WA 99208-5518
(509) 489-2273
Mailing address
6511 N CEDAR RD APT B34, SPOKANE, WA 99208-4673
(509) 771-3403
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60688631
WA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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