Stuart S Basom, P.T.
Physical Therapist in Lemoyne, PA. Individual provider (NPI-1).
NPI number1790783082
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790783082
- Entity type
- Individual (NPI-1)
- Name
- Stuart S Basom
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT001970E | PA | Yes |
Practice location
550 N 12th StSuite 120
Lemoyne, PA 17043-1213
Phone 717-737-9818 · Fax 717-737-2815
Mailing address
550 N 12th StSuite 120
Lemoyne, PA 17043-1242
Phone 717-737-9818
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All 39 Physical Therapist providers in Lemoyne · All 343 providers in Lemoyne
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