Individual
MISS SAMANTHA RAE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
248 STATE STREET, TWIN CITY PLAZA, BREWER, ME 04412
(207) 989-2034
(207) 989-5971
Mailing address
248 STATE ST, TWIN CITY PLAZA, BREWER, ME 04412-1519
(207) 989-2034
(207) 989-5971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1615
ME
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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