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Individual

ERIN B. BAIZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
321 W BRUCE ST STE B, SEYMOUR, IN 47274-2319
(812) 522-7887
(812) 522-7326
Mailing address
321 W BRUCE ST STE B, PO BOX 1192, SEYMOUR, IN 47274-2319
(812) 522-7887
(812) 522-7326

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008685A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000377920
ANTHEM PROVIDER NUMBER
IN
05
200808390
IN
Enumeration date
06/29/2007
Last updated
02/20/2012
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