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Individual

ANDREA L. BAUMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, ATC, CSCS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005061
KY
225100000X
Physical Therapist
Primary
05007615A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000280268
BLUE CROSS BLUE SHIELD
IN
05
200818620
IN
Enumeration date
12/02/2005
Last updated
08/07/2009
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