Individual
MR. GARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
6135 ROOSEVELT HWY, WARM SPRINGS, GA 31830
(706) 655-5636
Mailing address
71 VIRGINIA AVE, SHARPSBURG, GA 30277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003933
GA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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