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Individual

MRS. MINNIE ALICE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
704 LONGMIRE RD STE 101, CONROE, TX 77304-1850
(936) 441-1525
Mailing address
704 LONGMIRE RD STE 101, CONROE, TX 77304-1850
(936) 441-1525

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210057
TX

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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