Crystal Lynne Basich III, DPT

NPI #1245682202 in Madison, Ohio

Provider Information

NPI Number: 1245682202
Entity Type: Individual
Name: Crystal Lynne Basich III, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 1, 2016
Last Updated: Jul 1, 2016

Practice Location

Address: 2899 HUBBARD RD
City: Madison
State: Ohio
ZIP Code: 44057-2933
Phone: (440) 428-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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