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Individual
MS. SUSAN LYNN BAKER
Active
Individual
MS. SUSAN LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., PTA, OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
310011424A
IN
225X00000X
Occupational Therapist
Primary
31001142A
IN
225XP0200X
Pediatric Occupational Therapist
—
NULL
Other
Enumeration date
08/31/2006
Last updated
09/25/2019
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