GRANT A BASKO

NPI: 1255666137 · Individual · Active

Primary Specialty

Occupational Therapist

Practice Location

820 W MAIN ST
RIVERTON, WY 82501-3342 Map ↗
Phone: 307-857-7074
Fax: 307-856-6459

All Specialties & Licenses

  • Occupational Therapist Primary (license: OTR-763, WY)

NPI Registration

Enumerated: 2009-10-09

Last CMS Update: 2009-10-09