| NPI | 1134103948 |
|---|---|
| Doing Business As | BASCOM PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATE ZITTERE Controller 760-602-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-12-01 |