Individual
MRS. KATHLEEN M BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8801
Mailing address
424 E OLIVE ST, LONG BEACH, NY 11561-3607
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006695-1
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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