Individual
SAMANTHA M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 W 40TH ST, HOLLAND, MI 49423-4664
(616) 796-3600
Mailing address
115 N 168TH AVE, HOLLAND, MI 49424-1367
(727) 312-6796
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131002100
VA
224Z00000X
Occupational Therapy Assistant
17847
FL
224Z00000X
Occupational Therapy Assistant
Primary
5202008708
MI
Other
Enumeration date
03/12/2021
Last updated
03/30/2021
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