Individual
DERRICK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6704 NE 181ST ST STE 101, KENMORE, WA 98028-4890
(425) 419-4363
Mailing address
209 KIRKLAND AVE, KIRKLAND, WA 98033-6503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61379948
WA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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