Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT 000706 | OH |
N | 2251C2600X | Cardiopulmonary | PT 000706 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | PT 000706 | OH |
N | 2251H1300X | Human Factors | PT 000706 | OH |
N | 225XH1300X | Human Factors | PT 000706 | OH |
N | 2251N0400X | Physical Therapist - Neurology | PT 000706 | OH |
N | 2251P0200X | Physical Therapist - Pediatrics | PT 000706 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | PT 000706 | OH |
NPI | 1295801975 |
---|---|
Provider Name | Judy B Baker |
First Address | Kettering, OH 45429-4004 |
Second Address | Kettering, OH 45429-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 03/02/2009 |