ANDREW RICHARD BASIC

CAPE CORAL, FL
NPI1063032399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA26106)
Enumeration Date2020-04-16
Last Update Date2020-04-16
Business Address
ANDREW RICHARD BASIC PTA
2328 HANCOCK BRIDGE PKWY STE 103
CAPE CORAL, FL 33990-1455
Phone number: 239-574-7557
Mailing Address
ANDREW RICHARD BASIC PTA
833 SW 14TH AVE
CAPE CORAL, FL 33991-2133
Phone number: 804-980-0236