Individual
JESSICA MAE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 FRAM ST., PETERSBURG, AK 99833
(907) 772-4291
Mailing address
PO BOX 1111, PETERSBURG, AK 99833-1111
(907) 244-3956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
146186
AK
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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