ETHAN BAKER

FAYETTEVILLE, AR
NPI1356727671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A994)
Enumeration Date2015-08-10
Last Update Date2015-08-10
Business Address
-- ETHAN BAKER
3801 JOHNSON MILL BLVD
FAYETTEVILLE, AR 72704-5297
Phone number: 479-856-6400
Mailing Address
-- ETHAN BAKER
3801 JOHNSON MILL BLVD
FAYETTEVILLE, AR 72704-5297
Phone number: 479-856-6400