STUART S BASOM

LEMOYNE, PA
NPI1790783082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT001970E)
Enumeration Date2005-07-11
Last Update Date2007-07-08
Business Address
STUART S BASOM P.T.
550 N 12TH ST SUITE 120
LEMOYNE, PA 17043-1213
Phone number: 717-737-9818
Mailing Address
STUART S BASOM P.T.
550 N 12TH ST SUITE 120
LEMOYNE, PA 17043-1242
Phone number: 717-737-9818