Individual
BLAKE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9039 STELLHORN CROSSING PARKWAY, FORT WAYNE, IN 46815
(260) 489-9727
Mailing address
5483 COVENTRY LN APT 202, FORT WAYNE, IN 46804-7182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015983A
IN
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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