Individual
MR. DANIEL C JENSON BASCOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1502 W CHESTER PIKE, WEST CHESTER, PA 19382-7754
(610) 692-7208
Mailing address
316 BARTLETT AVE, SHARON HILL, PA 19079-1201
(610) 957-5065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018375
PA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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