Individual
HEATHER BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
Mailing address
240 S ADAMS ST, JENKS, OK 74037-2573
(918) 409-0157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2419
OK
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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