Individual
AMANDA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-1243
(217) 347-1558
Mailing address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-1243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024484
IL
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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