Rusel David Basco, DPT Valid NPI

Individual provider · Physical Therapist · Sherman Oaks, CA

NPI

1841439551

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

24930 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2009-02-19

Last updated

2011-02-08