Individual provider · NPI-1

Christopher Basa

Physical Therapist, Sports · Conroe, TX

NPI number1952085243
StatusActive
Last updated in NPPESJun 15, 2023

Details

NPI
1952085243
Entity type
Individual (NPI-1)
Name
Christopher Basa
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2023
Certification date
Jun 15, 2023
Last updated
Jun 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251S0007X Physical Therapist, Sports1293219TXYes

Other names

  • Christopher Basa (Professional Name)

Practice location

17342 Camillia Trl
Conroe, TX 77302-2706

Phone 936-662-2244

Mailing address

17342 Camillia Trl
Conroe, TX 77302-2706

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