Individual
ZACHARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3501
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045020
NY
225100000X
Physical Therapist
Primary
298020
CA
Other
Enumeration date
10/08/2019
Last updated
08/04/2023
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