Individual
KAREN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(607) 227-4267
Mailing address
PO BOX 842, ELMIRA, NY 14902-0842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
009062
NY
225200000X
Physical Therapy Assistant
Primary
48890
CA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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