Individual
AMY P. BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1214 PARKWAY DR, GOLDSBORO, NC 27534-3448
(919) 739-0047
(919) 739-9041
Mailing address
4048 MASSEY HOLT RD, PRINCETON, NC 27569-8965
(919) 936-3345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4000
NC
225XP0200X
Pediatric Occupational Therapist
4000
NC
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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