Organization
BAKER O & P ENTERPRISES, INC.
Active
Other names
ForMotion Clinic, Baker Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD GARDNER (COO)
(615) 864-8783
Entity
Organization
Contact information
Practice address
905 WALNUT HILL DR STE A, LONGVIEW, TX 75605-5082
(903) 213-5960
Mailing address
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
05/14/2026
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