Individual
MS. MARTHA ANN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
6210 E TWIN PEAK CIR, ANAHEIM, CA 92807-4848
(714) 974-5553
(714) 283-1896
Mailing address
6210 E TWIN PEAK CIR, ANAHEIM, CA 92807-4848
(714) 974-5553
(714) 283-1896
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT 7143
CA
172V00000X
Community Health Worker
PT 7143
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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