| NPI | 1700015518 |
|---|---|
| Former Name | LAURIE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 2142) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-09-23 |