Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT2916 | DC |
Y | 2251H1200X | Hand | PT2916 | DC |
N | 2251X0800X | Physical Therapist - Orthopedic | PT2916 | DC |
NPI | 1487680450 |
---|---|
Provider Name | Mr. Daniel George Baumstark |
First Address | Washington, DC 20036 |
Second Address | Washington, DC 20036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 01/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016048L77 | (02) |