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Individual

JULIE M BAUMGARTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2448 SOUTH 102ND ST STE 340, MJ CARE INC, MILWAUKEE, WI 53227
(414) 329-2500
Mailing address
PO BOX 146, CEDARVILLE, IL 61013-0146
(608) 558-8819

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1227-19
WI
225200000X
Physical Therapy Assistant
Primary
160.006021
IL

Other

Enumeration date
12/28/2011
Last updated
07/23/2021
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