Individual
RICHARD CARSON BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1508 N THORNTON AVE STE 106, DALTON, GA 30720-8516
(706) 226-0816
(706) 226-9584
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5098
TN
225200000X
Physical Therapy Assistant
Primary
PTA002869
GA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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