Individual
JOANNA MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
514 NW 4TH ST, ABILENE, KS 67410-2702
(620) 200-7759
Mailing address
514 NW 4TH ST, ABILENE, KS 67410-2702
(620) 200-7759
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00832
KS
Other
Enumeration date
04/28/2013
Last updated
04/28/2013
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