BRENDA BASILIO
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1811551799- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 298 MAIN ST, KEENE, NH, 034314145
- Phone
- (603) 352-7311
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NH #0501
All Addresses
MAILING
298 MAIN ST
KEENE, NH, 034314145