Individual
CASANDRA MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10506 BURT CIR, OMAHA, NE 68114-2094
(402) 991-3393
(402) 991-3390
Mailing address
3422 S 117TH ST, OMAHA, NE 68144-4643
(402) 639-6708
(402) 614-4730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
600
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02470
BCBS
NE
01
—
39525
BCBS
NE
05
—
47065477701
—
NE
Enumeration date
11/10/2006
Last updated
02/23/2021
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