Individual
MRS. PEGGY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7602 N. KICKAPOO, SHAWNEE, OK 74804
(405) 273-4887
Mailing address
7602 N KICKAPOO AVE, SHAWNEE, OK 74804-9131
(405) 273-4887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
548
OK
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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