Individual
ERIC BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1001 PINE ST, RENOVO, PA 17764-1620
(570) 923-1000
Mailing address
9777 CHARGER HWY, DUNCANSVILLE, PA 16635-5049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004683
PA
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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