Individual
SOPHIA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13465 PASTEUR BLVD, PALM BEACH GARDENS, FL 33418-7298
(183) 394-0295
Mailing address
740 E OCEAN AVE APT 507, BOYNTON BEACH, FL 33435-5168
(904) 563-2224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18078
FL
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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