Individual
LEON BAKER JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 RIDGE RD, LYNDHURST, NJ 07071-3206
(201) 372-3240
Mailing address
313-329 15TH AVE APT 217, NEWARK, NJ 07103-5611
(862) 276-9176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00409100
NJ
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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