Individual
BRYAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 N MAIN ST, SOUTH YARMOUTH, MA 02664-2083
(508) 394-3514
Mailing address
106 MALLARD DR, KALISPELL, MT 59901-5178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10203
MA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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