NPI | 1558421347 |
---|---|
Former Name | KATY ANN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 4190) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 4190) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2013-09-27 |