Individual
PENNY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 619-2102
Mailing address
2140 MORROW ST, LAKELAND, FL 33815-3534
(863) 619-2102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19959
FL
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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