Individual
BIANCA BASS
Active
Individual
BIANCA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21712
MD
225100000X
Physical Therapist
Primary
2305205028
VA
225100000X
Physical Therapist
PT870617
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K949 - 0042
CAREFIRST
VA
01
—
K949 -0042
CAREFIRST
DC
Enumeration date
01/11/2006
Last updated
12/16/2019
Update your record
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