Individual
MEGAN DANIELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 251-6373
(318) 251-6141
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 251-6373
(318) 251-6141
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
07806
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C175CR78
MEDICARE
LA
Enumeration date
10/14/2010
Last updated
09/01/2011
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