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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 E BASS JR. RPT (PRESIDENT/OWNER)
(478) 272-7494
Entity
Organization
Contact information
Practice address
101 FAIRVIEW PARK DR, DUBLIN, GA 31021-2501
(478) 272-7494
(478) 272-2616
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
—
00282774B
—
GA
Enumeration date
11/15/2005
Last updated
05/03/2013
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