Individual
BARBARA ANN BAUTCH-SMALLBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 8TH AVE SE, SAINT JOSEPH, MN 56374-9520
(320) 493-8332
Mailing address
124 8TH AVE SE, SAINT JOSEPH, MN 56374-9520
(320) 493-8332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069560
TX
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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