Individual
LAURIE ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6120 US HIGHWAY 27 N, SEBRING, FL 33870-1221
(863) 471-1223
(863) 471-2015
Mailing address
410 N VERONA AVE, AVON PARK, FL 33825-2742
(863) 368-1657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22203
FL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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