Willie T Basco, PT

NPI #1477889624 in Smyrna, Delaware

Provider Information

NPI Number: 1477889624
Entity Type: Individual
Name: Willie T Basco, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 22, 2009
Last Updated: Jun 18, 2010

Practice Location

Address: 33 DEAK DR
Address 2: SUITE 101
City: Smyrna
State: Delaware
ZIP Code: 19977-1268
Phone: (302) 659-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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