Individual
SUSAN R BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
690 E WARNER RD STE 105, GILBERT, AZ 85296-3055
(480) 820-6366
Mailing address
260 S RANCHOS LEGANTE DR, GILBERT, AZ 85296-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5277
AZ
Other
Enumeration date
11/26/2012
Last updated
12/13/2013
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