Gus Anthony Basa PT

NPI 1326161811 - Physical Therapist - 225100000X

NPI Details
NPI 1326161811
Gender Male
Enumeration Date 04/09/2007
Last Updated 10/22/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
5214 S EAST STREET
BUILDING D SUITE 1 HTS OUTPATIENT THERAPY SERVICES
INDIANAPOLIS IN, 46227, US
Phone (800) 486-4449
Fax (317) 780-3750
Business Location
5214 S EAST STREET
BUILDING D SUITE 1
INDIANAPOLIS IN, 46227, US
Phone (800) 486-4449
Fax (317) 780-3750
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05007968A
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According to our database, Gus Anthony Basa PT NPI is 1326161811, taxonomy code is 225100000X and license number is 05007968A, license state is located at Indiana. Gus Anthony Basa PT physically located at 5214 S East Street, Indianapolis IN, 46227. NPI Number Gus Anthony Basa PT has the Individual type.

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1326161811 NPI number is provided on an as is basis without warranty of any kind. 1326161811 is maintained by the National Plan & Provider Enumeration System. The contents of Gus Anthony Basa PT are for informational purposes only.