Individual
MRS. MICHELE ANNE BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2486 BRYTON DR, POWELL, OH 43065-7409
(614) 888-8910
Mailing address
2486 BRYTON DR, POWELL, OH 43065-7409
(614) 888-8910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 002674
OH
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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