Individual
MISS RETHA ALYCE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Mailing address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
(907) 452-4263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1986
AK
Other
Enumeration date
11/20/2008
Last updated
11/28/2008
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