Individual
DR. EMMA MENDOZA BASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13719 DALLAS DR, HUDSON, FL 34667-7133
(727) 862-6795
Mailing address
6462 COVEWOOD DR, SPRING HILL, FL 34609-1114
(352) 596-7122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 10670
FL
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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