Individual
JENNIFER ANN BAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774-5374
(301) 386-6770
Mailing address
7416 NIGH RD, FALLS CHURCH, VA 22043-1308
(509) 280-9191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160453764
WA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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