Individual
LORETTA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1606 HUNT DR, SPICE OF MARC, NORMAL, IL 61761-2192
(309) 452-0069
(309) 451-8989
Mailing address
1606 HUNT DR, SPICE OF MARC, NORMAL, IL 61761-2192
(309) 452-0069
(309) 451-8989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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