Individual
MRS. JORDAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT-R
Contact information
Practice address
700 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3082
(812) 288-4688
(812) 610-8333
Mailing address
9819 NORDIC DR, LOUISVILLE, KY 40272-2836
(502) 572-0880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005890A
KY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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