Individual
BASILE ADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Mailing address
222 LAURELTON ST, SPRINGFIELD, MA 01109-1829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014288
CT
225100000X
Physical Therapist
Primary
PTL27302
MA
Other
Enumeration date
05/10/2025
Last updated
05/10/2025
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