Individual
DERRICK HALE BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1001 SCENIC PKWY STE 101, CHESAPEAKE, VA 23323-6720
(757) 388-9950
Mailing address
712 ARENA CT, CHESAPEAKE, VA 23322-6327
(757) 403-6711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206684
VA
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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