| Doctor Name: | MS. GINA MARIA BASSO |
| NPI Number: | 1710136387 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 24179 |
| Business Practice Address: | 700 3rd St Suite 202 Neptune Beach, FL - 322665072 |
| Business Phone Number: | 9042495020 |
| Business Fax Number: | 9042417777 |
| Mailing Address: | 3515 Glenwood Ave, Raleigh Orthopaedic Rehab Specialists RALEIGH |
| State: | NC |
| Postal Code: | 27612 |
| Phone Number: | 9198636996 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 07/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 24179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |