Individual
MARYCAROL BAKER
Active
Individual
MARYCAROL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CKTP, CCI
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070003083
IL
225100000X
Physical Therapist
Primary
2004025487
MO
225100000X
Physical Therapist
2398
AK
225100000X
Physical Therapist
P13507
NC
225100000X
Physical Therapist
RPT-344
ID
Other
Enumeration date
08/12/2010
Last updated
07/19/2012
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