Individual
SARAH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 PRAIRIE AVE., CHEYENNE, WY 82001
(307) 637-4617
Mailing address
4806 SULLIVAN ST, CHEYENNE, WY 82009-5667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0706
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PTA-0706
—
WY
Enumeration date
08/18/2011
Last updated
08/18/2011
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