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Individual
MS. MARTHA ANN BASS
Active
Individual
MS. MARTHA ANN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT 7143
CA
172V00000X
Community Health Worker
PT 7143
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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