Basiago, Marlene M

Basiago, Marlene M is an sole proprietor health care provider with primary practice located at 39 W Ludlow St , Summit Hill PA 18250-1141. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Basiago, Marlene M can be contacted via phone (570) 645-4001.

Contact Information

Primary practice address
39 W Ludlow St Summit Hill PA 18250-1141
Phone: (570) 645-4001
Fax: (570) 645-4001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006324L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC000061L Pennsylvania

Profile Details

NPI number 1114923133
LBN Legal business name Basiago, Marlene M
Credentials O.T.R./L.,P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jan 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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