Individual
JAMES BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1011 MERIDIAN ST, SAULT SAINTE MARIE, MI 49783-2650
(906) 635-1518
Mailing address
PO BOX 507, SAULT SAINTE MARIE, MI 49783-0507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008218
MI
225XG0600X
Gerontology Occupational Therapist
5201008218
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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