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1245848936
STEPHANIE ANN BAKER
MISSOULA, MT
NPI
1245848936
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Former Name
STEPHANIE ANN DIMKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MT OTP-OT-LIC-3957)
Enumeration Date
2020-07-19
Last Update Date
2020-07-29
Business Address
STEPHANIE ANN BAKER OTR/L
3620 AMERICAN WAY
MISSOULA, MT 59808-1379
Phone number: 509-885-8798
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Mailing Address
STEPHANIE ANN BAKER OTR/L
706 ROCK CREEK RD
CLINTON, MT 59825-9624
Phone number: 509-885-8798
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