Provider Demographics
NPI:1568659852
Name:BAUR, STEPHEN CHRISTOPHER (DPT, CLT-UE)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:CHRISTOPHER
Last Name:BAUR
Suffix:
Gender:M
Credentials:DPT, CLT-UE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 WELLESLEY DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3038
Mailing Address - Country:US
Mailing Address - Phone:301-404-1955
Mailing Address - Fax:301-474-2589
Practice Address - Street 1:7518 WELLESLEY DR
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3038
Practice Address - Country:US
Practice Address - Phone:301-404-1955
Practice Address - Fax:301-474-2589
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2011-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist