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1396000857
SARA LYNN BAUER
SHEBOYGAN, WI
NPI
1396000857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1852-19)
Enumeration Date
2012-07-11
Last Update Date
2016-01-28
Business Address
-- SARA LYNN BAUER PTA
3431 N 13TH ST
SHEBOYGAN, WI 53083-2938
Phone number: 920-452-0567
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Mailing Address
-- SARA LYNN BAUER PTA
3431 N 13TH ST
SHEBOYGAN, WI 53083-2938
Phone number: 262-689-8261
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