Individual
MR. GORDON REED BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
423 SCRANTON CARBONDALE HWY, SCRANTON, PA 18508-1115
(570) 207-5502
(570) 207-5511
Mailing address
324 OAK ST, PECKVILLE, PA 18452-2228
(724) 301-3708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002051
PA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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