Individual
MRS. MELISSA LYNN BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6010 S MASON MONTGOMERY RD, MASON, OH 45040-3706
(513) 246-7846
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-9595
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2334
OH
Other
Enumeration date
02/25/2015
Last updated
11/05/2020
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