Individual
MRS. STEPHANIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
145 MIDDLE ST STE 1101, LAKE MARY, FL 32746-3594
(407) 323-6955
Mailing address
410 ALBANY AVE, DELAND, FL 32724-6146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18354
FL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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