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Individual

JOAN BAXER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1 DINEV CT, MONROE, NY 10950-6449
(845) 782-7510
(845) 782-5849
Mailing address
82 ALDER DR, RAMSEY, NJ 07446-2307
(201) 934-0818
(201) 236-9365

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
003882-1
NY

Other

Enumeration date
12/18/2008
Last updated
12/18/2008
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