Randall Gary Bauer, R.P.T.
Physical Therapist in Laguna Hills, CA. Individual provider (NPI-1).
NPI number1114068152
StatusActive
Last updated in NPPESFeb 27, 2012
Details
- NPI
- 1114068152
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randall Gary Bauer
- Credential
- R.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2007
- Last updated
- Feb 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 14376 | CA | Yes |
Practice location
27071 Cabot Rd#101
Laguna Hills, CA 92653-7024
Phone 949-588-7278 · Fax 949-588-7331
Mailing address
27071 Cabot Rd#101
Laguna Hills, CA 92653-7024
Phone 949-588-7278 · Fax 949-588-7331
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