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Individual

MRS. AMY NICOLE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
234 WEST ST S, SOUTHVIEW PLAZA SUITE #4, GRINNELL, IA 50112-8160
(641) 236-4506
(641) 236-4316
Mailing address
234 WEST ST S, SOUTHVIEW PLAZA SUITE #4, GRINNELL, IA 50112-8160
(641) 236-4506
(641) 236-4316

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004152
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0461624
IA
01
71749
BCBS
IA
Enumeration date
01/28/2008
Last updated
02/19/2009
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