Individual
MELANIE ANN BAUER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1000 SAINT STEPHENS RD, ALEXANDRIA, VA 22304-1727
(703) 212-2819
Mailing address
471 LONG TOWNE CT, GLEN BURNIE, MD 21061-6146
(703) 212-2819
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001009
VA
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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