Individual
MS. MARY E BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 ESSINGTON RD, JOLIET, IL 60435-2873
(815) 729-2160
(815) 729-2958
Mailing address
2677 BLUESTONE BAY DR, NEW LENOX, IL 60451
(815) 485-7234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008306
IL
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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