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MRS. SHANA NICOLE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
420 E GRUNDY AVE, SPRINGFIELD, KY 40069-1173
(859) 336-7771
Mailing address
310 OLD SHARPSVILLE LN, HARRODSBURG, KY 40330-8018
(859) 481-3299

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02506
KY

Other

Enumeration date
03/13/2012
Last updated
03/13/2012
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