Individual
MRS. THENA SHAWN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
4350 WILL ROGERS PKWY STE 600, OKLAHOMA CITY, OK 73108-1808
(405) 948-2813
Mailing address
2379 COUNTY ROAD 1203, TUTTLE, OK 73089-3043
(918) 232-6940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA752
OK
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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