Mary W Baumer, P.T.

Individual provider Active NPI Physical Therapist · Eatontown, NJ

NPI 1104029818 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104029818
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
270 Industrial Way W
Eatontown, NJ 07724-2206
Phone
(732) 542-2525
Fax
(732) 542-2445
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40QA0695300NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NJ Yes

Addresses

Primary practice location

270 Industrial Way W
Eatontown, NJ 07724-2206

Mailing address

233 Quail LN N
Lanoka Harbor, NJ 08734-1627
Phone (609) 693-6898

Other providers in Eatontown, NJ

All providers in Eatontown, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.