Organization
TRANSFORMATIONS FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DANA BASSIOUNI PHYSICIAN ASSISTANT (OWNER)
(419) 450-4771
Entity
Organization
Contact information
Practice address
4366 PEARSON PKWY, OREGON, OH 43616-3572
(419) 450-4771
Mailing address
4366 PEARSON PKWY, OREGON, OH 43616-3572
(419) 450-4771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
08/16/2023
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