Individual
PATRICK STEPHAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CDPT
Contact information
Practice address
1111 FAWCETT AVE STE 200, TACOMA, WA 98402-2029
(253) 274-0484
Mailing address
1111 FAWCETT AVE STE 200, TACOMA, WA 98402-2029
(253) 274-0484
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60865375
WA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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