Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE007897 | PA |
NPI | 1003002551 |
---|---|
Provider Name | Rebecca L Bassett |
First Address | Monroeville, PA 15146-3332 |
Second Address | Monroeville, PA 15146-3332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 16/10/2008 |