Individual
JEREMY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6006 MAHONING AVE, SUITE 201, AUSTINTOWN, OH 44515-2239
(330) 755-3000
Mailing address
6006 MAHONING AVE, SUITE 201, AUSTINTOWN, OH 44515-2239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012998
OH
Other
Enumeration date
07/22/2008
Last updated
06/15/2021
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