Individual provider · NPI-1

Jessica Bassett, MPT

Physical Therapist · Brunswick, ME

NPI number1164540688
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1164540688
Entity type
Individual (NPI-1)
Name
Ms. Jessica Bassett
Credential
MPT
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT3062MEYes
225100000X Physical Therapist5048SC
225100000X Physical Therapist17058MA

Practice location

329 Maine St
Brunswick, ME 04011-3310

Phone 207-373-2293

Mailing address

290 Great Fields Rd.
Brewster, MA 02631

Phone 508-815-9995

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