Individual
MR. JOEL DAVID BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
(414) 453-9290
Mailing address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
(414) 325-4069
(414) 325-4069
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4616-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41075900
—
WI
Enumeration date
11/10/2008
Last updated
11/05/2012
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