MICHELLE BASULTO

HOMOSASSA, FL
NPI1417677287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA15380)
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
MICHELLE BASULTO OTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-804-9961
Mailing Address
MICHELLE BASULTO OTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-804-9961
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