Individual
HAIVEN JO LEI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD; OTR/L
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-4584
(815) 842-6893
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-4584
(815) 842-6893
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
10/13/2025
Last updated
10/24/2025
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