CHARULATA BASOLE

CHAMPAIGN, IL
NPI1144346941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070007456)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Ms. CHARULATA BASOLE PT
2403 VILLAGE GREEN PL
CHAMPAIGN, IL 61822-7676
Phone number: 217-326-2911
Mailing Address
Ms. CHARULATA BASOLE PT
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-326-2911
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