Individual
AMBER RENEE BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26574
MD
2251C2600X
Cardiopulmonary Physical Therapist
26754
MD
Other
Enumeration date
06/03/2019
Last updated
05/10/2022
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