Individual
MS. PATRICIA A BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5036 BACK VALLEY RD, BIG STONE GAP, VA 24219-4073
(276) 395-0270
Mailing address
5036 BACK VALLEY RD, BIG STONE GAP, VA 24219-4073
(276) 395-0270
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305205896
VA
2251P0200X
Pediatric Physical Therapist
7249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7210502
—
NC
Enumeration date
10/25/2006
Last updated
03/10/2014
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