Individual
KIMBERLY REENEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12200 BROADBENT RD, LANSING, MI 48917-9706
(517) 731-6200
Mailing address
708 DENVER ST, LANSING, MI 48910-6417
(207) 242-8540
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32001741A
IN
224Z00000X
Occupational Therapy Assistant
Primary
5202008121
MI
224Z00000X
Occupational Therapy Assistant
OA2315
ME
Other
Enumeration date
12/14/2009
Last updated
10/01/2024
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