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Individual

MR. RYAN BASESCU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
1215 ALICE DR, SUMTER, SC 29150-1905
(803) 774-5201
Mailing address
110 FILBERT ST, UNIONTOWN, PA 15401-7304

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26535
MD
225100000X
Physical Therapist
7544
SC

Other

Enumeration date
03/12/2015
Last updated
11/15/2017
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