Individual
MRS. LISA BASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
860 LARGO CENTER DR, LARGO, MD 20774-3705
(301) 233-6675
Mailing address
8200 GOOD LUCK RD, LANHAM, MD 20706-3511
(301) 552-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17802
MD
Other
Enumeration date
08/17/2011
Last updated
07/25/2013
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