Individual
SHANA ANN MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 HUMBOLDT ST, SUITE 100, ROCHESTER, NY 14610-1059
(585) 623-0199
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1876
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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