Organization
KIND REHABILITATION LLC
Active
Other names
Daniel Basta Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BASTA MSPT (PHYSICAL THERAPIST)
(347) 489-4533
Entity
Organization
Contact information
Practice address
2600 S ROCK CREEK PKWY APT 21-101, SUPERIOR, CO 80027-4505
(347) 489-4533
Mailing address
566 S MCCASLIN BLVD UNIT 270316, SUPERIOR, CO 80027-5249
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
08/12/2020
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