Individual
LAURA E BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44 HATCHETTS HILL RD, OLD LYME, CT 06371-1512
(860) 434-4800
(860) 434-4834
Mailing address
44 HATCHETTS HILL RD, OLD LYME, CT 06371-1512
(860) 434-4800
(860) 434-4834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922123314
NPI
CT
Enumeration date
03/17/2009
Last updated
03/17/2009
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