Individual
BRENDA BASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MAIN ST, KEENE, NH 03431-4145
(603) 352-7311
Mailing address
298 MAIN ST, KEENE, NH 03431-4145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0501
NH
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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