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1003531435
ZACHARY TYLER BAKER
WEST MEMPHIS, AR
NPI
1003531435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1906)
Enumeration Date
2022-10-07
Last Update Date
2023-02-15
Business Address
ZACHARY TYLER BAKER OTA
610 N MISSOURI ST
WEST MEMPHIS, AR 72301-3148
Phone number: 870-400-0179
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Mailing Address
ZACHARY TYLER BAKER OTA
610 N MISSOURI ST
WEST MEMPHIS, AR 72301-3148
Phone number: 870-400-0179
Copy
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