Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE RENEE BAUER, MOT, OTR/L
Active Sole ProprietorJACQUELINE RENEE BAUER, MOT, OTR/L is a Skilled Nursing Facility healthcare provider located in FAIRFAX, Virginia. NPI 1558863027 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · FAIRFAX, VA
Registration Details
- NPI Number
- 1558863027
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2018 (8.4261451314816 yrs)
- Last Updated
- Mar 1, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
10701 MAIN STREETFAIRFAX, VA, 22030Browse VA providers · Browse ZIP 22030
- Phone
- 7032737705
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.