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Individual

MR. KYLE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
30 PRINCETON BLVD, LOWELL, MA 01851-2405
(978) 454-8086
Mailing address
30 PRINCETON BLVD, LOWELL, MA 01851-2405
(978) 454-8086

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9540
MA

Other

Enumeration date
05/09/2008
Last updated
05/09/2008
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