Individual
ERIC BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1100 S COULTER ST, AMARILLO, TX 79106-1836
(806) 468-9700
(806) 468-9771
Mailing address
601 EAGLE BLVD, FRITCH, TX 79036-8150
(806) 433-0212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117364
TX
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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