| Doctor Name: | MR. RANDALL GARY BAUER |
| NPI Number: | 1114068152 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.P.T. |
| License Number: | PT 14376 |
| Business Practice Address: | 27071 Cabot Rd #101 Laguna Hills, CA - 926537024 |
| Business Phone Number: | 9495887278 |
| Business Fax Number: | 9495887331 |
| Mailing Address: | 27071 Cabot Rd, #101 LAGUNA HILLS |
| State: | CA |
| Postal Code: | 926537024 |
| Phone Number: | 9495887278 |
| Fax Number: | 9495887331 |
| NPI Enumeration Date: | 02/11/2007 |
| NPI Last Update Date: | 02/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 14376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |