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Individual

ZACHARY BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13800 METCALF AVE, OVERLAND PARK, KS 66223-1200
(913) 945-2153
(913) 945-2154
Mailing address
13800 METCALF AVE, OVERLAND PARK, KS 66223-1200
(913) 945-2153
(913) 945-2154

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03887
KS
225X00000X
Occupational Therapist
2021019020
MO
225X00000X
Occupational Therapist
2021028199
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201108250B
KS
01
2021019020
DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
04/29/2021
Last updated
09/17/2021
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