| NPI | 1972939338 |
|---|---|
| Professional Name | KELLY BAKER BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208936) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60378525) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-09-19 |