Organization
BAKER PHYSICAL THERAPY, LLC
Active
Other names
Baker Physical Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY SUDOL BAKER PT, DPT (PHYSICAL THERAPIST/OWNER)
(917) 744-6457
Entity
Organization
Contact information
Practice address
76 VALLEY RD, COS COB, CT 06807-2533
(917) 744-6457
Mailing address
120 CHERRY LN, WILTON, CT 06897-3522
(917) 744-6457
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
10/11/2021
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