Ms. CHARULATA BASOLE -- PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1144346941- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 2403 VILLAGE GREEN PL, CHAMPAIGN, IL, 618227676
- Phone
- (217) 326-2911
- Fax
- (217) 344-8047
Specialties & Taxonomies
Physical Therapist
Primary License: IL #070007456