Individual
EMILY BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C.
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 901-4578
Mailing address
24005 OAK VALE DR, VALENCIA, CA 91355-2847
(661) 733-6165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005751
CA
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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