Individual
MRS. JILL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CALLE MACHO, SAN CLEMENTE, CA 92673-3035
(949) 492-7933
(949) 492-8636
Mailing address
410 CALLE MACHO, SAN CLEMENTE, CA 92673-3035
(949) 492-7933
(949) 492-8636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT722
CA
Other
Enumeration date
07/03/2006
Last updated
10/21/2008
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