Individual
TINA LYNN BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC, CLT
Contact information
Practice address
7250 PEAK DR, SUITE 118, LAS VEGAS, NV 89128-9027
(702) 877-2000
(702) 877-2100
Mailing address
PO BOX 34797, LAS VEGAS, NV 89133-4797
(702) 877-2000
(702) 877-2100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1204
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC2342
BLUE CROSS BLUE SHIELD
NV
Enumeration date
07/07/2005
Last updated
11/08/2011
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