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Individual

JOHN BASSETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
240 MAPLE STREET, WOODRUFF, WI 54568-0470
(715) 356-8000
Mailing address
240 MAPLE STREET, PO BOX 470, WOODRUFF, WI 54568-0470
(715) 356-8000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2741-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40328400
WI
Enumeration date
10/23/2006
Last updated
07/09/2007
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