Individual
MR. CANAAN WYATT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA/RD
Contact information
Practice address
3420 WHITEHURST RD, GREENSBORO, NC 27410-2580
(336) 265-6731
Mailing address
3715 BOXWOOD CT, THOMASVILLE, NC 27360-7847
(336) 609-2554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5266
NC
Other
Enumeration date
03/24/2014
Last updated
09/11/2025
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