Thea Fay Bascue

NPI #1255570578 in East Lansing, Michigan

Provider Information

NPI Number: 1255570578
Entity Type: Individual
Name: Thea Fay Bascue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 10, 2009
Last Updated: Feb 10, 2009

Practice Location

Address: 250 E SAGINAW ST
City: East Lansing
State: Michigan
ZIP Code: 48823-2740
Phone: (517) 337-3080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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