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NPI Code Detail

MEDICARE: ASTHER JILL BAES PT

MEDICARE:   ASTHER JILL BAES  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 TherapistP10143NC

General Provider Information

NPI Number : 1922342948
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASTHER JILL BAES PT
Provider Business Mailing Address
First Line : 213 SNOW CAMP DR
Second Line :
City : CARY
State : NC
Zip : 27519-5826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 72 CHATHAM BUSINESS DR
Second Line :
City : PITTSBORO
State : NC
Zip : 27312-5687
Country : US
Telephone Number : 919-542-6677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 11/15/2012

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Directions to “ ASTHER JILL BAES PT” Practice Location

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