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NPI Code Detail

MEDICARE: SARAH D BAUMAN PT

MEDICARE: SARAH D BAUMAN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP8547NC

General Provider Information

NPI Number : 1053625038
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH D BAUMAN PT
Provider Business Mailing Address
First Line : 3001 EDWARDS MILL RD 200
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5243
Country : US
Telephone Number : 919-863-6872
Fax Number :
Provider Business Practice Location Address
First Line : 10810 SANDY OAK LN
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8386
Country : US
Telephone Number : 919-846-7147
Fax Number : 919-846-7135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2010
Last Update Date : 11/18/2015

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