Individual
ERVANLIE BAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
15013 WILDFLOWER CIR, NAPLES, FL 34119-4856
(239) 867-6755
Mailing address
15013 WILDFLOWER CIR, NAPLES, FL 34119-4856
(239) 867-6755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122422
TX
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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