John Carlo Base, OTR

NPI 1720236896 · on the registry since 2008 · sole proprietor

Practice

Address: 359 Village Commons Blvd
Georgetown, TX 78633
Phone: (512) 277-6405
Fax: (512) 277-6406
Organisation at this address: Lcs Georgetown Propco Llc
Healthpro Heritage Rehab & Fitness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas