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MS. CHRISTINE M BAUCH PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1346441771
Individual Registrant:MS. CHRISTINE M BAUCH PT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2440 GOLD STAR HWY SUITE 201 MYSTIC, CT 06355-1180 US
Tel: 860-536-1001 Fax: 860-536-1527
Tel: 860-536-1001 Fax: 860-536-1527
Contact information for business:
24 RHODE ISLAND DR OAKDALE, CT 06370-1417 US
Tel: 617-584-8882 Fax: --
Tel: 617-584-8882 Fax: --
Registration Information:
NPI: 1346441771
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT | 9631 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
