Individual
SUSAN L BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
243 S 4TH ST, BALLY, PA 19503-9662
(610) 845-7121
Mailing address
243 S 4TH ST, BALLY, PA 19503-9662
(610) 845-7121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP000035L
PA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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