Individual
MR. JUSTIN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
750 N WASHINGTON ST, POTTSTOWN, PA 19464-4748
(910) 970-6700
Mailing address
141 BAYBERRY DR, ROYERSFORD, PA 19468-1243
(516) 455-5775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000023
PA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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