TODD RANDALL BAKER

LOUISBURG, NC
NPI1093204711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A4897)
Enumeration Date2018-05-08
Last Update Date2018-05-08
Business Address
TODD RANDALL BAKER PTA
114 SMOKETREE WAY
LOUISBURG, NC 27549-2117
Phone number: 919-496-6084
Mailing Address
TODD RANDALL BAKER PTA
3628 NC 39 HWY N
LOUISBURG, NC 27549-6624
Phone number: 919-218-6357
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