| NPI | 1114476645 |
|---|---|
| Former Name | MARLA BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 312178) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116643) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00627100) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |