Individual
NICOLE BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 GRANDVIEW AVENUE, WATERBURY, CT 06708-2507
(203) 573-7130
Mailing address
22 TOMPKINS STREET, WATERBURY, CT 06708-1458
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2038
CT
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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