Individual
MR. JEFFREY LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 558-0225
(402) 558-0227
Mailing address
2124 S 113TH AVE, OMAHA, NE 68144-3030
(402) 933-0293
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
462
NE
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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