Individual
JACOB BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
790 N US HIGHWAY 67, FLORISSANT, MO 63031-5108
(314) 972-1442
(314) 972-1533
Mailing address
13537 BARRETT PARKWAY DR, SUITE 105, BALLWIN, MO 63021-5899
(314) 821-9126
(314) 821-9142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007023383
MO
Other
Enumeration date
06/14/2007
Last updated
03/21/2025
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