Individual
MARY MAUREEN BASSOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 E HWY 260, CAMP VERDE, AZ 86322-2898
(928) 567-6683
(928) 567-2477
Mailing address
PO BOX 2898, CAMP VERDE, AZ 86322-2898
(928) 567-6683
(928) 567-2477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
979
AZ
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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