Individual
MRS. GINA ELIZABETH BASCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11200 GALLERIA AVE STE 100, RALEIGH, NC 27614-8137
(919) 570-7746
(919) 784-4696
Mailing address
11200 GALLERIA AVE STE 100, RALEIGH, NC 27614-8137
(919) 570-7746
(919) 784-4696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19676
NC
Other
Enumeration date
05/22/2018
Last updated
11/06/2024
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