AMANDA KAY BASSO

MILWAUKEE, WI
NPI1407338924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2811-19)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
AMANDA KAY BASSO
7500 W NORTH AVE
MILWAUKEE, WI 53213-1717
Phone number: 414-258-6170
Mailing Address
AMANDA KAY BASSO
N2263 WILMOT BLVD
LAKE GENEVA, WI 53147-2332
Phone number: 262-417-6845
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