Individual
TORY BASILIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5998 CENTRE ST STE F, MELROSE, FL 32666-6208
(352) 316-2922
Mailing address
PO BOX 55, LAKE GENEVA, FL 32160-0055
(352) 316-2922
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA73666
FL
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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