Individual
MRS. ELLEN BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 N BRIARCLIFF DR, APPLETON, WI 54915-2959
(920) 739-4466
(920) 739-2103
Mailing address
601 N BRIARCLIFF DR, APPLETON, WI 54915-2959
(920) 739-4466
(920) 739-2103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4927-26
WI
Other
Enumeration date
07/29/2008
Last updated
05/30/2013
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