NPI 1811353899
Jennifer Ann Bauder, PTA
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
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.