Individual
GLENN BAUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5048 LIMA RD, GENESEO, NY 14454-9718
(585) 233-7765
Mailing address
5048 LIMA RD, GENESEO, NY 14454-9718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009945
NY
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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