Tara Bast, PT, DPT

NPI #1285034686 in Ashburn, Virginia

Provider Information

NPI Number: 1285034686
Entity Type: Individual
Name: Tara Bast, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 4, 2014
Last Updated: Apr 3, 2017

Practice Location

Address: 21785 FILIGREE CT
Address 2: SUITE 209
City: Ashburn
State: Virginia
ZIP Code: 20147-6213
Phone: (703) 723-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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