Individual
MS. ROBIN LIANE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1302 QUAIL RUN DR SW, JACKSONVILLE, AL 36265-3307
(256) 782-0822
(256) 782-0088
Mailing address
1302 QUAIL RUN DR SW, JACKSONVILLE, AL 36265-3307
(256) 782-0822
(256) 782-0088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1970
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51093990
BLUE CROSS PROVIDER ID
AL
Enumeration date
09/26/2006
Last updated
07/09/2007
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