KEVIN BASS

LEESBURG, GA
NPI1326836735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003388)
Enumeration Date2025-04-26
Last Update Date2025-04-26
Business Address
KEVIN BASS
206 HILLRIDGE DR
LEESBURG, GA 31763-1146
Phone number: 229-869-1134
Mailing Address
KEVIN BASS
206 HILLRIDGE DR
LEESBURG, GA 31763-1146
Phone number: 229-869-1134
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