Individual
BREANNE MICHELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
7491 W MISSION VIEW PL, TUCSON, AZ 85743-5419
(520) 579-0222
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A66060115
—
AZ
Enumeration date
04/04/2013
Last updated
04/04/2013
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