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1487078747
THERESA ANN BAKER
MILWAUKIE, OR
NPI
1487078747
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Former Name
THERESA ANN VANDENBERGHE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08772)
Enumeration Date
2014-02-06
Last Update Date
2014-02-06
Business Address
-- THERESA ANN BAKER
4560 SE INTERNATIONAL WAY SUITE 101
MILWAUKIE, OR 97222-4628
Phone number: 970-206-5422
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Mailing Address
-- THERESA ANN BAKER
3910 NW TAMARACK DR
CORVALLIS, OR 97330-3319
Phone number: 541-231-7439
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