Individual
GILDA BASNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 POLARIS PKWY STE 204, COLUMBUS, OH 43240-4042
(614) 340-7587
(614) 340-7581
Mailing address
2705 BOLD VENTURE DR, LEWIS CENTER, OH 43035-7130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.008415
OH
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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