Individual
MARY KAY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2203 CANDLESTICK LN, MIDLAND, MI 48642-3165
(989) 430-9457
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-9325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670E611020
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/19/2006
Last updated
02/26/2025
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