Most Relevant Information
Provider Data
| NPI Number: | 1003517178 |
| Provider Name: | THERESA BAUMGARTNER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2023 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
3722 12TH ST NE
WASHINGTON
DC
200172533
Practice Location Phone/Fax
| Phone: | 2028326681 |
| Fax: |
Provider Mailing Location
3722 12TH ST NE
WASHINGTON
DC
200172533
Provider Mailing Phone/Fax
| Phone: | 2028326681 |
| Fax: |