Individual
BASSILL ITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3350 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(407) 846-0152
Mailing address
13006 HEMING WAY, ORLANDO, FL 32825-2712
(407) 963-0922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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