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1508440116
MACY MARIE BASTERRECHEA
SAN ANTONIO, TX
NPI
1508440116
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Former Name
MACY MARIE URRUTIA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1345491)
Enumeration Date
2021-05-10
Last Update Date
2021-10-25
Business Address
MACY MARIE BASTERRECHEA DPT
10919 CULEBRA RD STE 143
SAN ANTONIO, TX 78253-4502
Phone number: 210-419-8694
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Mailing Address
MACY MARIE BASTERRECHEA DPT
PO BOX 306393
NASHVILLE, TN 37230-6393
Phone number: 615-373-1350
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