Individual
LAURA ELLA BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21651 E COUNTRY VISTA DR, LIBERTY LAKE, WA 99019-7708
(509) 822-7834
Mailing address
PO BOX 1180, HAYDEN, ID 83835-1180
(208) 966-4176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60615300
WA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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