| NPI | 1871705277 |
|---|---|
| Former Name | ALICE D BAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003688) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL FL20006) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2013-07-15 |