Michail S Baskaron

NPI #1326538679 in Herndon, Virginia

Provider Information

NPI Number: 1326538679
Entity Type: Individual
Name: Michail S Baskaron
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 12, 2018
Last Updated: Sep 4, 2024

Practice Location

Address: 13350 FRANKLIN FARM RD STE 300
City: Herndon
State: Virginia
ZIP Code: 20171-4095
Phone: (703) 810-5205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X
Physical Therapist	225100000X	Primary

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