Individual
MARLYN SUE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY, SUITE 200, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
3929 LAW RD., NORTH BRANCH, MI 48461
(810) 688-3859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001721
MI
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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