Individual
JENNA LEE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1031
Mailing address
W1055 COUNTY ROAD T, MONDOVI, WI 54755-2501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11298-024
WI
Other
Enumeration date
08/10/2009
Last updated
11/13/2009
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