KALI BASHAM

WAPELLO, IA
NPI1023471687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  073030)
Enumeration Date2016-03-31
Last Update Date2016-03-31
Business Address
-- KALI BASHAM PTA
601 HIGHWAY 61 S
WAPELLO, IA 52653-1364
Phone number: 319-470-4380
Mailing Address
-- KALI BASHAM PTA
1220 AVENUE B
FORT MADISON, IA 52627-2729
Phone number: 319-470-4380