MONA SMITH BASILE

CHARLOTTE, NC
NPI1861740763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  5477)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
-- MONA SMITH BASILE COTA/L
5101 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269-8732
Phone number: 704-548-9111
Mailing Address
-- MONA SMITH BASILE COTA/L
549 GEORGETOWN DR NW
CONCORD, NC 28027-6463
Phone number: