MIA BASILIO

STERLING HEIGHTS, MI
NPI1891812996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201006496)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- MIA BASILIO OT
14560 LAKESIDE CIR
STERLING HEIGHTS, MI 48313-1350
Phone number: 586-247-3220
Mailing Address
-- MIA BASILIO OT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: