NPI | 1972807287 |
---|---|
Former Name | ELIZABETH ANN BAUMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 39543) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: MD 23497) |
2251X0800X Physical Therapist, Orthopedic (Licence: MD 23497) | |
Enumeration Date | 2010-12-29 |
Last Update Date | 2013-04-02 |