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Individual

DR. CHASE D BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO, DPT

Contact information

Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
41564
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/02/2014
Last updated
06/29/2024
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