Organization
MIKE YASSON LLC
Active
Other names
Big League Performance and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MICHAEL YASSON III DPT, CSCS (CEO/FOUNDER)
(631) 806-3554
Entity
Organization
Contact information
Practice address
1525 HALF ST SW, WASHINGTON, DC 20024-3412
(631) 806-3554
Mailing address
1525 HALF ST SW, WASHINGTON, DC 20024-3412
(631) 806-3554
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT871868
DC
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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