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Organization
BASS PHYSICAL THERAPY AND REHABILITATION CENTER INC
Active
Organization
BASS PHYSICAL THERAPY AND REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD BASS JR. RPT (PRESIDENT OWNER)
(478) 272-7494
Entity
Organization
Contact information
Practice address
114 VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-4017
(478) 237-3074
Mailing address
101 FAIRVIEW PARK DR, PO BOX 883, DUBLIN, GA 31021-2501
(478) 272-7494
(478) 272-2616
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00282774A
—
GA
Enumeration date
01/31/2007
Last updated
10/01/2009
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