Individual
HOLLY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 BOYLE WAY, SUMMERVILLE, SC 29485-7847
(843) 276-3704
(843) 695-7675
Mailing address
127 BOYLE WAY, SUMMERVILLE, SC 29485-7847
(843) 276-3704
(843) 695-7675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2936
SC
Other
Enumeration date
01/23/2014
Last updated
07/21/2022
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