Individual
MISS AIMEE CARRON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1120 E LONG LAKE RD STE 201, TROY, MI 48085-4716
(248) 496-0098
Mailing address
9596 DOLORES, CLARKSTON, MI 48348-2400
(248) 891-8445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002616
MI
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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