Individual
HOLLY BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
9915 VAN BUREN ST, CROWN POINT, IN 46307-1731
(219) 964-1591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005299A
IN
Other
Enumeration date
04/22/2018
Last updated
04/22/2018
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