Individual
THOMAS L. BAUMGARTNER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
29017 102ND ST, POLLOCK, SD 57648
(605) 889-2335
(605) 889-2335
Mailing address
29017 102ND ST., POLLOCK, SD 57648
(605) 889-2335
(605) 889-2335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0509
SD
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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