Whalio Doctors

NPI 1811353899

Jennifer Ann Bauder, PTA

Practitioner Physical Therapy Assistant Upper Marlboro, MD

Practice location

Address
1221 Mercantile Ln, Upper Marlboro, MD 20774-5374
Phone
(301) 386-6770
Mailing address
7416 Nigh Rd, Falls Church, VA 22043-1308

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence P160453764 (WA)

Registry record

NPI
1811353899
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Jan 2016
Record last updated
6 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.