Individual
MS. JANE C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6821 N COUNTRY HOMES BLVD, SUITE 102, SPOKANE, WA 99208-4372
(509) 325-6776
(509) 325-0817
Mailing address
6821 N COUNTRY HOMES BLVD, SUITE 102, SPOKANE, WA 99208-4372
(509) 325-6776
(509) 325-0817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3120
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038860
STATE L&I
WA
01
—
GAB37905
MEDICARE PROVIDER
—
Enumeration date
03/24/2006
Last updated
12/18/2007
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