Individual
STEPHANIE ANN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3620 AMERICAN WAY, MISSOULA, MT 59808-1379
(509) 885-8798
Mailing address
706 ROCK CREEK RD, CLINTON, MT 59825-9624
(509) 885-8798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-3957
MT
Other
Enumeration date
07/19/2020
Last updated
07/29/2020
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