Individual
AUDREY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009082
AZ
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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