Individual
MRS. JENNIFER MICHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, BCP
Contact information
Practice address
15 CYPRESS BRANCH WAY STE 207D, PALM COAST, FL 32164-8414
(386) 585-5955
(386) 585-7017
Mailing address
10 WATKINS PL, PALM COAST, FL 32164-7643
(386) 585-5955
(386) 585-7017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2967
TN
225X00000X
Occupational Therapist
Primary
OT14766
FL
Other
Enumeration date
10/28/2006
Last updated
05/01/2019
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