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Individual

MRS. DEANNA ELIZABETH BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
5007 JOSHUA DR, WENTZVILLE, MO 63385-4562
(636) 332-0412
Mailing address
5007 JOSHUA DR, WENTZVILLE, MO 63385-4562
(636) 332-0412

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007011518
MO

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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