Individual
MELVIN JOSEPH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W CONSTANCE RD, SUFFOLK, VA 23434-4413
(757) 539-8744
Mailing address
10941 MAGNOLIA ST NW, COON RAPIDS, MN 55448-4346
(612) 636-2390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000744
VA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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