Individual
JEANNE BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
630 BROAD ST, CARLSTADT, NJ 07072-1169
(201) 507-0717
(201) 507-0718
Mailing address
11 EAGLE ROCK AVE, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00066400
NJ
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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