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1114542206
ELLISA LONG BAKER
HUNTSVILLE, AL
NPI
1114542206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AL 5202)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
ELLISA LONG BAKER OTR/L
4900 UNIVERSITY SQ STE 24
HUNTSVILLE, AL 35816-1829
Phone number: 256-387-7415
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Mailing Address
ELLISA LONG BAKER OTR/L
251 BOLES RD
HAZEL GREEN, AL 35750-8429
Phone number: 256-585-4786
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