Individual
GREG BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1577 W 7000 S, #100, WEST JORDAN, UT 84084-7492
(801) 566-6301
Mailing address
9720 S 1300 E, #W200, SANDY, UT 84094-3712
(801) 572-0690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5300655-2401
UT
Other
Enumeration date
12/29/2005
Last updated
06/03/2011
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