Individual
AMANDA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1106 ANDY THOMAS RD, WHITEWRIGHT, TX 75491-5154
(903) 815-0879
Mailing address
1106 ANDY THOMAS RD, WHITEWRIGHT, TX 75491-5154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116187
TX
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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