ELIZABETH J BASAK

GREEN BAY, WI
NPI1679777650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10319-024)
Enumeration Date2007-06-13
Last Update Date2021-11-22
Business Address
ELIZABETH J BASAK PT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
Mailing Address
ELIZABETH J BASAK PT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7226
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