Individual
MRS. HOLLY DAVIS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
709 HWY 19, THAYER, MO 65791
(417) 264-7256
Mailing address
709 HWY 19, THAYER, MO 65791
(417) 264-7256
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017003081
MO
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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