Individual
MRS. DIANE ARLENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19341 OTTERS WICK WAY, LAND O LAKES, FL 34638-7769
(813) 948-4843
Mailing address
19341 OTTERS WICK WAY, LAND O LAKES, FL 34638-7769
(813) 948-4843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 6810
FL
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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