Individual
MR. MICHAEL WALLACE BAKER
Active
Individual
MR. MICHAEL WALLACE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1585
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR1585
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
09/19/2008
Last updated
09/19/2008
Update your record
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