Individual
JACQUELINE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 835-3952
Mailing address
1866 WOOD PARKE LN, COMMERCE TOWNSHIP, MI 48382-4862
(248) 325-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303653
MI
Other
Enumeration date
03/14/2025
Last updated
03/21/2025
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