Individual
MARISSA BAUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1889 WOODMOOR DR, MONUMENT, CO 80132-9066
(719) 481-6868
Mailing address
10 CRAGMOR VILLAGE RD, COLORADO SPRINGS, CO 80918-3717
(262) 337-3354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15181-24
WI
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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