Individual
BRENDAN SHAW DEL BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
103 DAVIS RD STE M, LEAGUE CITY, TX 77573-2769
(281) 338-6777
Mailing address
2822 SWAN MEADOW CT, LEAGUE CITY, TX 77573-4345
(281) 898-3909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150476
TX
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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