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Individual

BETHANY BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9707 OLD GEORGETOWN RD, BETHESDA, MD 20814-1745
(716) 969-0333
Mailing address
2120 VERMONT AVE NW APT 208, WASHINGTON, DC 20001-4054
(716) 969-0333

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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