Individual
MRS. BEVERLY COLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
140 BURKE CALHOUN CITY RD, CALHOUN CITY, MS 38916-9690
(662) 628-4244
Mailing address
2304 JACKSON AVE W, OXFORD, MS 38655-5416
(662) 234-8559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3051
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020213
—
MS
Enumeration date
08/20/2018
Last updated
08/20/2018
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