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1013735182
DERRICK HALE BASKIN
CHESAPEAKE, VA
NPI
1013735182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305206684)
Enumeration Date
2024-09-28
Last Update Date
2024-09-28
Business Address
DERRICK HALE BASKIN DPT
1001 SCENIC PKWY STE 101
CHESAPEAKE, VA 23323-6720
Phone number: 757-388-9950
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Mailing Address
DERRICK HALE BASKIN DPT
712 ARENA CT
CHESAPEAKE, VA 23322-6327
Phone number: 757-403-6711
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