Individual
ELIZABETH JILL BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CAHAL ST, HATTIESBURG, MS 39401-2922
(601) 543-0310
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2833
MS
Other
Enumeration date
05/16/2007
Last updated
12/29/2009
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