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1518195312
TRACEY A BAKER
PHILADELPHIA, PA
NPI
1518195312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP002889L)
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
TRACEY A BAKER COTA/L
2022 S 67TH ST
PHILADELPHIA, PA 19142-1625
Phone number: 215-729-4016
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Mailing Address
TRACEY A BAKER COTA/L
2022 S 67TH ST
PHILADELPHIA, PA 19142-1625
Phone number: 215-729-4016
Copy
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