Individual
SAMANTHA RENEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1745 S ALMA SCHOOL RD STE 145, MESA, AZ 85210-3049
(480) 963-3634
Mailing address
940 N SENATE ST, CHANDLER, AZ 85225-3972
(814) 730-7477
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6076
AZ
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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