Individual
DR. EDWARD PRENTISS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
5206 SYLVAN RD, RICHMOND, VA 23225-3042
(703) 328-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206032
VA
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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