Organization
BAUER REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BAUER (OWNER)
(989) 430-9457
Entity
Organization
Contact information
Practice address
2203 CANDLESTICK LN, MIDLAND, MI 48642-3165
(989) 430-9457
Mailing address
2203 CANDLESTICK LN, MIDLAND, MI 48642-3165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010076
MI
225X00000X
Occupational Therapist
5201004579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650E610560
BLUE CROSS BLUE SHIELD MI
MI
01
—
DB0668
MEDICARE RAILROAD
MI
Enumeration date
08/04/2006
Last updated
02/24/2009
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