Individual
AMY BAUMGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(800) 848-7868
Mailing address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(800) 848-7868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1478
OR
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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