Individual
MRS. SANDRA LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1301 RUSSELL RD, RUSSELLVILLE, AR 72802-4320
(479) 967-2316
(479) 967-3639
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-TO951
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140519721
—
AR
01
—
256016
NBCOT
AR
01
—
O-TO951
STATE LIC
AR
Enumeration date
04/23/2007
Last updated
02/02/2023
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