Individual
GUS ANTHONY BASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5214 S EAST STREET, BUILDING D SUITE 1 HTS OUTPATIENT THERAPY SERVICES, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3750
Mailing address
5214 S EAST STREET, BUILDING D SUITE 1, INDIANAPOLIS, IN 46227
(800) 486-4449
(317) 780-3750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007968A
IN
Other
Enumeration date
04/09/2007
Last updated
10/22/2010
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