Individual
KORY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 249-5533
Mailing address
305 S 5TH ST, ENID, OK 73701-5832
(580) 249-5533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1489
OK
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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