Individual provider · NPI-1

Joshua David Bauer, PTA

Physical Medicine & Rehabilitation · Huntington Beach, CA

NPI number1336723915
StatusActive
Last updated in NPPESMay 10, 2021

Details

NPI
1336723915
Entity type
Individual (NPI-1)
Name
Joshua David Bauer
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
May 10, 2021
Certification date
May 10, 2021
Last updated
May 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationPTA51161CAYes

Practice location

7921 Professional Cir
Huntington Beach, CA 92648-1901

Phone 714-847-8751

Mailing address

7921 Professional Cir
Huntington Beach, CA 92648-1901

Phone 714-847-8751

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