MEDICARE: DIANE MARIE BAUGHMAN 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
1	225100000X	Physical Therapist	PT03470	OH

General Provider Information

NPI Number	:	1891707295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE MARIE BAUGHMAN PT

Provider Business Mailing Address
First Line	:	2266 SAINT JAMES WOODS BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-2214
Country	:	US
Telephone Number	:	419-841-3922
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 REGENCY CT
Second Line	:	SUITE 105
City	:	TOLEDO
State	:	OH
Zip	:	43623-3091
Country	:	US
Telephone Number	:	419-885-2322
Fax Number	:	419-885-5329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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Directions to “ DIANE MARIE BAUGHMAN PT” Practice Location

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