MS. Charulata Basole, PT

NPI #1144346941 in Champaign, Illinois

Provider Information

NPI Number: 1144346941
Entity Type: Individual
Name: MS. Charulata Basole, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2403 VILLAGE GREEN PL
City: Champaign
State: Illinois
ZIP Code: 61822-7676
Phone: (217) 326-2911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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