Individual
KELLIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11081 FOREST PINES DR STE 112, RALEIGH, NC 27614-7656
(919) 562-9410
(919) 562-9425
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588-1107
(919) 562-9410
(919) 562-9425
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P19071
NC
Other
Enumeration date
08/05/2019
Last updated
09/27/2023
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