Individual
SCOTT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9082 E US HIGHWAY 36, AVON, IN 46123-7780
(317) 209-1900
Mailing address
9082 E US HIGHWAY 36, AVON, IN 46123-7780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012512A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05012512A
—
IN
Enumeration date
07/26/2017
Last updated
03/17/2018
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