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Individual
SANDRA J BAUMSTARK
Active
Individual
SANDRA J BAUMSTARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR, L,MPH
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38954
BLUE CROSS/BLUE SHIELD
FL
05
—
887579100
—
FL
01
—
C12867
MEDICARE R.R. GROUP #
FL
Enumeration date
07/18/2006
Last updated
07/08/2007
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