Individual
ANDREW BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164
Mailing address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA27903
FL
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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