Individual
LESLEY BAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1820 MARYS WAY, KINGSFORD, MI 49802-4248
(906) 282-1653
Mailing address
W3101 RIDGECREST DR, VULCAN, MI 49892-8290
(906) 282-1653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008205
MI
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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