Individual
COURTNEY LEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3157 HIGHWAY 185, NEW HAVEN, MO 63068-2702
(636) 667-1460
Mailing address
3157 HIGHWAY 185, NEW HAVEN, MO 63068-2702
(636) 667-1460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017001725
MO
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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