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Organization

BASS CHIROPRACTIC & PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BASSAM MAWLA D.C (PRESIDENT)
(413) 726-0912
Entity
Organization

Contact information

Practice address
1145 MAIN ST, SUITE 107, SPRINGFIELD, MA 01103-2143
(413) 726-0912
(413) 686-9305
Mailing address
1145 MAIN ST, SUITE 107, SPRINGFIELD, MA 01103-2143
(413) 726-0912
(413) 686-9305

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3120
MA

Other

Enumeration date
08/08/2007
Last updated
08/08/2007
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