Individual
JOHN BASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
63 MAIN ST, ESSEX JUNCTION, VT 05452-3122
(802) 879-5976
Mailing address
63 MAIN ST, ESSEX JUNCTION, VT 05452-3122
(802) 879-5976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134258
VT
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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