Individual
MR. BRUCE BASEFLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5483
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37669
CA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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