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1184254104
BRENDAN SHAW DEL BASSO
LEAGUE CITY, TX
NPI
1184254104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2150476)
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
BRENDAN SHAW DEL BASSO PTA
103 DAVIS RD STE M
LEAGUE CITY, TX 77573-2769
Phone number: 281-338-6777
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Mailing Address
BRENDAN SHAW DEL BASSO PTA
2822 SWAN MEADOW CT
LEAGUE CITY, TX 77573-4345
Phone number: 281-898-3909
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