| Doctor Name: | QUENNIE M. BASA |
| NPI Number: | 1043415235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 23711 |
| Business Practice Address: | 9353 Imperial Hwy Garden Medical Office 3rd Floor Downey, CA - 902422812 |
| Business Phone Number: | 5626572428 |
| Business Fax Number: | |
| Mailing Address: | 9353 Imperial Hwy, Garden Medical Office 3rd Floor DOWNEY |
| State: | CA |
| Postal Code: | 902422812 |
| Phone Number: | 5626572428 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 07/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 23711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |