Doctor Name: | MS. PRUDENCE AUBREY BAUMAN |
NPI Number: | 1053578641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASTERS OF PT |
License Number: | L1177151 |
Business Practice Address: | 8384 Holly Rd Suite 2 Grand Blanc, MI - 48439 |
Business Phone Number: | 8102472102 |
Business Fax Number: | 8106554648 |
Mailing Address: | 37009 Mitchell Street, GRAND BLANC |
State: | MI |
Postal Code: | 48439 |
Phone Number: | 8102472102 |
Fax Number: | 8106554648 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | L1177151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |