Susan Laurie Bass P.T.

NPI 1780799619 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1780799619
Gender Female
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2080 CENTURY PARK E
SUITE205
LOS ANGELES CA, 90067-2001, US
Phone (310) 553-2519
Fax (310) 553-5842
Business Location
2080 CENTURY PARK E
SUITE205
LOS ANGELES CA, 90067-2001, US
Phone (310) 553-2519
Fax (310) 553-5842
Toxanomy
Taxonomy Code 208100000X
License State California
License Number PT13677
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According to our database, Susan Laurie Bass P.T. NPI is 1780799619, taxonomy code is 208100000X and license number is PT13677, license state is located at California. Susan Laurie Bass P.T. physically located at 2080 Century Park E, Los Angeles CA, 90067-2001. NPI Number Susan Laurie Bass P.T. has the Individual type.

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1780799619 NPI number is provided on an as is basis without warranty of any kind. 1780799619 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Laurie Bass P.T. are for informational purposes only.