Individual
GINA DOREEN BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3901 PARKWAY CIR, SPRINGDALE, AR 72762-6362
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT-448
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200795550A
—
OK
05
—
480058260
—
MO
Enumeration date
07/31/2018
Last updated
04/11/2024
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