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1093951899
TIMOTHY LOELL BAKER
TACOMA, WA
NPI
1093951899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160045517)
Enumeration Date
2008-12-29
Last Update Date
2008-12-29
Business Address
MR. TIMOTHY LOELL BAKER PTA
1649 E 72ND ST
TACOMA, WA 98404
Phone number: 971-206-5200
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Mailing Address
MR. TIMOTHY LOELL BAKER PTA
4560 SE INTERNATIONAL WAY, STE. 100 CONSONUS HEALTHCARE SERVICES ATTN: ANNA BROWNE
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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