Individual
KAYLEE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1883 SHUMWAY HILL RD, WELLSBORO, PA 16901-6840
(570) 724-3913
Mailing address
19 COURT LN, LIBERTY, PA 16930-9207
(570) 404-2982
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007807
PA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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