Individual
DR. TIFFANY SUDOL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CPT, CAC.
Contact information
Practice address
76 VALLEY RD, COS COB, CT 06807-2533
(917) 744-6457
Mailing address
120 CHERRY LN, WILTON, CT 06897-3522
(917) 744-6457
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
010303
CT
2251X0800X
Orthopedic Physical Therapist
037938-1
NY
Other
Enumeration date
01/28/2015
Last updated
01/30/2021
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