Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 212382 | TX |
NPI | 1023599545 |
---|---|
Provider Name | Lindsay M Baker |
First Address | Garland, TX 75042-8308 |
Second Address | Allen, TX 75002-3039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2018 |
Last Update Date | 23/08/2018 |