Cory Robert Bauer, DPT | |
8000 Cranberry Springs Dr Ste 100, Cranberry Township, PA 16066-6687 | |
(724) 720-3050 | |
Not Available |
Full Name | Cory Robert Bauer |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 8000 Cranberry Springs Dr Ste 100, Cranberry Township, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750875472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT026877 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | 026877 (Pennsylvania) | Primary |
Provider Name | Phs Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912300096 PECOS PAC ID: 9234454851 Enrollment ID: O20150202001629 |
Mailing Address | Practice Location Address |
---|---|
Cory Robert Bauer, DPT 8000 Cranberry Springs Dr Ste 100, Cranberry Township, PA 16066-6687 Ph: (724) 720-3050 | Cory Robert Bauer, DPT 8000 Cranberry Springs Dr Ste 100, Cranberry Township, PA 16066-6687 Ph: (724) 720-3050 |
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