Individual
BRENDA CHRISTINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5454
Mailing address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1451-062
WI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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