-- GRANT A BASKO --
Individual Provider (NPI-1)
Active
Occupational Therapist
Provider Information
- NPI Number
1255666137- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 820 W MAIN ST, RIVERTON, WY, 825013342
- Phone
- (307) 857-7074
- Fax
- (307) 856-6459
Specialties & Taxonomies
Occupational Therapist
Primary License: WY #OTR-763