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Individual

MR. BENJAMIN ROBERT BAUMGARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
5524 MARIT DR, SANTA ROSA, CA 95409-3829
(707) 367-8831
Mailing address
34 MARK WEST SPRINGS RD STE 300, SANTA ROSA, CA 95403-1783
(707) 367-8831

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292519
CA
225100000X
Physical Therapist
292519

Other

Enumeration date
03/03/2020
Last updated
03/03/2020
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