Individual
BETHANY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
0119-009430
VA
225X00000X
Occupational Therapist
Primary
09581
MD
225X00000X
Occupational Therapist
OT210002028
DC
Other
Enumeration date
10/30/2019
Last updated
02/12/2024
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