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Individual
TRACIE LYNN BAKER
Active
Individual
TRACIE LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT000580
PA
225100000X
Physical Therapist
Primary
PT013716L
PA
225100000X
Physical Therapist
PT9363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1344514
HIGHMARK
PA
01
—
7418394
AETNA
PA
Enumeration date
01/20/2006
Last updated
01/10/2017
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