Individual
MICHELE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
58 BAILEY ST, LAWRENCE, MA 01843-1512
(978) 687-0632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3376
MA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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