TRISHA BASS

SALEM, IL
NPI1841390846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070012779)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Ms. TRISHA BASS PT
1250 W WHITTAKER ST
SALEM, IL 62881-1917
Phone number: 618-241-2128
Mailing Address
Ms. TRISHA BASS PT
PO BOX 503861
SAINT LOUIS, MO 63150-0001
Phone number: 618-241-2128
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