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NPI Code Detail

MEDICARE: GALILEO MARRIED BASILIO

MEDICARE: GALILEO MARRIED BASILIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist60688631WA

General Provider Information

NPI Number : 1538682422
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALILEO MARRIED BASILIO
Provider Business Mailing Address
First Line : 6511 N CEDAR RD APT B34
Second Line :
City : SPOKANE
State : WA
Zip : 99208-4673
Country : US
Telephone Number : 509-771-3403
Fax Number :
Provider Business Practice Location Address
First Line : 7411 N NEVADA ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-5518
Country : US
Telephone Number : 509-489-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2017
Last Update Date : 07/21/2017

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Directions to “ GALILEO MARRIED BASILIO ” Practice Location

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