Individual
MATTHEW BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1139 MAIN AVE, WARWICK, RI 02886-1940
(401) 739-6600
Mailing address
52 WHISPERING PINES DR, CRANSTON, RI 02921-3002
(401) 258-6093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01502
RI
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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