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1285034686
TARA BAST
ASHBURN, VA
NPI
1285034686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305209033)
Enumeration Date
2014-09-04
Last Update Date
2017-04-03
Business Address
-- TARA BAST PT, DPT
21785 FILIGREE CT SUITE 209
ASHBURN, VA 20147-6213
Phone number: 703-723-8800
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Mailing Address
-- TARA BAST PT, DPT
21785 FILIGREE CT #209
ASHBURN, VA 20147-6213
Phone number: 703-723-8800
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