Individual
MRS. LOU A BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2550 N NYE AVE, FREMONT, NE 68025-2242
(402) 721-6403
Mailing address
1734 N CLARMAR AVE, FREMONT, NE 68025-2815
(402) 721-6211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
426
NE
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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