Individual
MRS. EKITIRINE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 WEST 49 ST #332, HIALEAH, FL 33012
(305) 556-0121
(305) 556-1372
Mailing address
900 WEST 49 ST #332, HIALEAH, FL 33012
(305) 556-0121
(305) 556-1372
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881317500
—
FL
Enumeration date
11/02/2006
Last updated
07/22/2009
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