Individual
THERESA ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(970) 206-5422
Mailing address
3910 NW TAMARACK DR, CORVALLIS, OR 97330-3319
(541) 231-7439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08772
OR
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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