Individual
MR. JARROD SAMPSON BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA, BS
Contact information
Practice address
8900 THREE CHOPT RD, RICHMOND, VA 23229-4615
(804) 288-0033
(804) 288-0035
Mailing address
8900 THREE CHOPT RD, RICHMOND, VA 23229-4615
(804) 288-0033
(804) 288-0035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603933
VA
Other
Enumeration date
04/22/2015
Last updated
11/22/2019
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