Individual
MRS. JENNIFER LYNN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1401 PEARL ST, FAULKTON, SD 57438-2219
(605) 598-6214
(605) 598-6773
Mailing address
298 SUNRISE DR, MINA, SD 57451-3013
(605) 359-1462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0807
SD
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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