Most Relevant Information
Provider Data
| NPI Number: | 1003196486 |
| Provider Name: | LISA BASKINS M.P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 17802 |
Most Important Dates
| Enumeration Date: | 08/17/2011 |
| Last Updated: | 07/25/2013 |
Provider Practice Location
860 LARGO CENTER DR
LARGO
MD
207743705
Practice Location Phone/Fax
| Phone: | 3012336675 |
| Fax: |
Provider Mailing Location
8200 GOOD LUCK RD
LANHAM
MD
207063511
Provider Mailing Phone/Fax
| Phone: | 3015522000 |
| Fax: |