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Organization
KIND REHABILITATION LLC
Active
Organization
KIND REHABILITATION LLC
Active
Other names
Daniel Basta Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BASTA MSPT (PHYSICAL THERAPIST)
(347) 489-4533
Entity
Organization
Contact information
Practice address
2600 S ROCK CREEK PKWY APT 21-101, SUPERIOR, CO 80027-4505
(347) 489-4533
Mailing address
566 S MCCASLIN BLVD UNIT 270316, SUPERIOR, CO 80027-5249
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
08/12/2020
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