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1467602045
MICHAEL WALLACE BAKER
LITTLE ROCK, AR
NPI
1467602045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AR OTR1585)
Enumeration Date
2008-09-19
Last Update Date
2008-09-19
Business Address
Mr. MICHAEL WALLACE BAKER OT
5312 W 10TH ST
LITTLE ROCK, AR 72204-1852
Phone number: 501-280-9195
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Mailing Address
Mr. MICHAEL WALLACE BAKER OT
67 KINGS HWY
CONWAY, AR 72032-9440
Phone number: 501-329-5416
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