Individual
KIMBERLY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 OLD BLACK CREEK RD, FREMONT, NC 27830-9116
(919) 394-9854
Mailing address
705 OLD BLACK CREEK RD, FREMONT, NC 27830-9116
(919) 394-9854
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
10246
NC
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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