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1083273783
BASSILL ITANI
KISSIMMEE, FL
NPI
1083273783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
BASSILL ITANI DPT
3350 W SOUTHPORT RD
KISSIMMEE, FL 34746-2706
Phone number: 407-846-0152
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Mailing Address
BASSILL ITANI DPT
13006 HEMING WAY
ORLANDO, FL 32825-2712
Phone number: 407-963-0922
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