Individual
VAISHALI E. BAUSKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87401
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011796
MI
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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