Individual
CANDICE ELIZABETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901A RENE O GUIDRY ROAD, BREAUX BRIDGE, LA 70517
(337) 852-6212
Mailing address
1901A RENE O GUIDRY ROAD, BREAUX BRIDGE, LA 70517
(337) 852-6212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61452448
WA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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