LACEY BAKER

GILLETTE, WY
NPI1538609136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WY  OTR-762)
Enumeration Date2017-03-01
Last Update Date2017-03-01
Business Address
-- LACEY BAKER
1801 S 4J RD
GILLETTE, WY 82718-5201
Phone number: 307-682-2392
Mailing Address
-- LACEY BAKER
1801 S 4J RD
GILLETTE, WY 82718-5201
Phone number: 307-682-2392