Individual
LUCIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W ANN ARBOR TRL, STE 200, PLYMOUTH, MI 48170-1694
(734) 354-8000
Mailing address
1617 MOULTON AVE, NORTH MUSKEGON, MI 49445-3023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006908
MI
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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