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SAMANTHA BAUER OTD, OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1053943936
Individual Registrant: SAMANTHA BAUER OTD, OTR/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
9916 REAVIS RD AFFTON, MO 63123-5188 US
Tel: 314-544-4440 Fax: --
Tel: 314-544-4440 Fax: --
Contact information for business:
505 S PARKVIEW AVE ELMHURST, IL 60126-4113 US
Tel: 630-310-4672 Fax: --
Tel: 630-310-4672 Fax: --
Registration Information:
NPI: 1053943936
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | MO | 2020004311 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
