Individual
CAROL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 OLD MILITARY RD, LAKE PLACID, NY 12946-1811
(518) 523-3640
Mailing address
318 OLD MILITARY RD, LAKE PLACID, NY 12946-1811
(518) 523-3640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006071
NY
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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