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SAMANTHA BAUER OTD, OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1053943936

Individual Registrant:
 SAMANTHA  BAUER OTD, OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9916 REAVIS RD  AFFTON, MO 63123-5188 US
Tel: 314-544-4440  Fax: --

Contact information for business:
505 S PARKVIEW AVE  ELMHURST, IL 60126-4113 US
Tel: 630-310-4672  Fax: --

Registration Information:
NPI: 1053943936
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MO2020004311

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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