Individual
AMY SUZANNE BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
929 JEFFERSON ST, DELANO, CA 93215-2296
(661) 558-1100
Mailing address
9897 ESPADA CREEK RD, MORENO VALLEY, CA 92557-3532
(314) 518-4349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3880
CA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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