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Individual
MRS. TAMARA L BAKER
Active
Individual
MRS. TAMARA L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003899
WA
225100000X
Physical Therapist
PT0003899
WA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NONE
—
01
—
68303
LABOR AND INDUSTRIES
WA
01
—
GO1291
BLUE SHIELD
WA
Enumeration date
02/08/2007
Last updated
06/30/2023
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