Individual
MRS. KATHLEEN ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20408 OAK HOLLOW CIR, SPRINGFIELD, NE 68059-7056
(402) 253-2511
Mailing address
20408 OAK HOLLOW CIR, SPRINGFIELD, NE 68059-7056
(402) 253-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
179
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025222500
—
NE
Enumeration date
03/13/2007
Last updated
07/08/2007
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