GUS ANTHONY BASA

INDIANAPOLIS, IN
NPI1326161811
Other NameGUS ANTHONY VILLALUZ BASA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007968A)
Enumeration Date2007-04-09
Last Update Date2010-10-22
Business Address
GUS ANTHONY BASA PT
5214 S EAST STREET BUILDING D SUITE 1 HTS OUTPATIENT THERAPY SERVICES
INDIANAPOLIS, IN 46227
Phone number: 800-486-4449
Mailing Address
GUS ANTHONY BASA PT
5214 S EAST STREET BUILDING D SUITE 1
INDIANAPOLIS, IN 46227
Phone number: 800-486-4449
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