Individual
MICHELLE A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
281 E CHERRY ST, CLYDE, OH 43410-2109
(419) 765-0171
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.012375
OH
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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