Individual
MRS. MARIKA ELISE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
50 ELM ST, NEW HAVEN, CT 06510-2006
(845) 461-7448
Mailing address
50 ELM ST, NEW HAVEN, CT 06510-2006
(845) 461-7448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009559
CT
Other
Enumeration date
08/01/2006
Last updated
07/23/2014
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