Most Relevant Information
Provider Data
| NPI Number: | 1003339961 |
| Provider Name: | MICHELLE BAUMGART |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | P17237 |
Most Important Dates
| Enumeration Date: | 07/24/2017 |
| Last Updated: | 07/24/2017 |
Provider Practice Location
5705 FAYETTEVILLE RD
DURHAM
NC
277135318
Practice Location Phone/Fax
| Phone: | 9196662624 |
| Fax: |
Provider Mailing Location
704 15TH ST APT 336
DURHAM
NC
277053981
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |