Individual
SAMANTHA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7125 HANNA ST, FORT WAYNE, IN 46816-1166
(260) 447-8811
Mailing address
20413 MONROEVILLE RD, MONROEVILLE, IN 46773-9761
(260) 414-0052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006098A
IN
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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