Grant A Basko

NPI #1255666137 in Riverton, Wyoming

Provider Information

NPI Number
1255666137
Entity Type
Individual
Name
Grant A Basko
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Oct 9, 2009
Last Updated
Oct 9, 2009

Practice Location

Address
820 W MAIN ST
State
Wyoming
ZIP Code
82501-3342
Phone
(307) 857-7074

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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