Individual
JOEL N BASLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2307 E HIGHWAY 76, MARION, SC 29571-6351
(843) 423-4888
(803) 548-5023
Mailing address
PO BOX 1864, GREENVILLE, SC 29602-1864
(864) 331-0919
(864) 331-0922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2883
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2883
STATE OF SC LICENSE
SC
Enumeration date
11/14/2007
Last updated
07/24/2008
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