Organization
BAUER PHYSICAL THERAPY, INC.
Active
Organization
BAUER PHYSICAL THERAPY, INC.
Active
Other names
R&S Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL GARY BAUER P.T. (OWNER)
(949) 588-7278
Entity
Organization
Contact information
Practice address
27071 CABOT RD, #101, LAGUNA HILLS, CA 92653-7024
(949) 588-7278
(949) 588-7331
Mailing address
27071 CABOT RD, #101, LAGUNA HILLS, CA 92653-7024
(949) 588-7278
(949) 588-7331
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 14376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14376
BCBS
CA
Enumeration date
02/14/2007
Last updated
02/27/2012
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