Individual
JOSHUA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3525 E LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6302
(208) 706-7050
(208) 706-7059
Mailing address
3525 E LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-667
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-667
BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
03/05/2014
Last updated
03/05/2014
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