Individual
JENNIFER M BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FAYETTE ST, MARTINSVILLE, VA 24112-2620
(276) 352-4465
Mailing address
128 FAYETTE ST, MARTINSVILLE, VA 24112-2620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213673
VA
Other
Enumeration date
08/12/2021
Last updated
06/01/2023
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