Most Relevant Information
Provider Data
NPI Number: | 1003214529 |
Provider Name: | MATTHEW BAUMANN OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | KY-R5901 |
Most Important Dates
Enumeration Date: | 12/16/2014 |
Last Updated: | 04/25/2023 |
Provider Practice Location
330 WALLER AVE STE 275
LEXINGTON
KY
405042930
Practice Location Phone/Fax
Phone: | 8594478600 |
Fax: | 8594478599 |
Provider Mailing Location
330 WALLER AVE STE 275
LEXINGTON
KY
405042930
Provider Mailing Phone/Fax
Phone: | 8594478600 |
Fax: | 8594478599 |