Doctor Name: | COLLEEN KIMBERLY BAUER |
NPI Number: | 1023409240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 1254837 |
Business Practice Address: | 930 W Centerville Rd Suite 930c Garland, TX - 750415823 |
Business Phone Number: | 9723037021 |
Business Fax Number: | |
Mailing Address: | 305 Ne Loop 820, Business Tower 1, Suite 200 HURST |
State: | TX |
Postal Code: | 760537209 |
Phone Number: | 8172928787 |
Fax Number: | 8177896849 |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1254837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |