Individual
SHANE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 712-2137
Mailing address
1061 VERDE DR, CHICO, CA 95973-1028
(530) 514-0349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9988
CA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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