Individual
MS. SAMANTHA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
22731 NEWMAND STREET, SUITE 100B, DEARBORN, MI 48124
(313) 791-0616
Mailing address
22731 NEWMAND STREET, SUITE 100B, DEARBORN, MI 48124
(313) 791-0616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009737
MI
Other
Enumeration date
02/07/2017
Last updated
03/29/2017
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