Individual provider · NPI-1

Susan R Baker, COTA-L

Occupational Therapy Assistant · Gilbert, AZ

NPI number1821332180
StatusActive
Last updated in NPPESDec 13, 2013

Details

NPI
1821332180
Entity type
Individual (NPI-1)
Name
Susan R Baker
Credential
COTA-L
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 26, 2012
Last updated
Dec 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant5277AZYes

Practice location

690 E Warner Rd Ste 105
Gilbert, AZ 85296-3055

Phone 480-820-6366

Mailing address

260 S Ranchos Legante Dr
Gilbert, AZ 85296-2000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapy Assistant providers in Gilbert, AZ