Individual
CHANDRIKA BASKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3016 REAGENEA DR, WYLIE, TX 75098-8914
(214) 546-0385
Mailing address
721 TX-78, WYLIE, TX 75098-8914
(214) 546-0385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1217629
TX
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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