Individual
MR. JOHN PHILLIP BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
25 CARMEL CT, MADISON, CT 06443-1790
(203) 421-7087
Mailing address
25 CARMEL CT, MADISON, CT 06443-1790
(203) 421-7087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000266
CT
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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