| Doctor Name: | TOSHA MARIE BAKER |
| NPI Number: | 1083907984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | COTA/L |
| License Number: | OTA10267 |
| Business Practice Address: | 26850 S Bay Dr Bonita Springs, FL - 341344379 |
| Business Phone Number: | 2399482600 |
| Business Fax Number: | |
| Mailing Address: | 10101 Maddox Ln, E 102 BONITA SPRINGS |
| State: | FL |
| Postal Code: | 341357641 |
| Phone Number: | 6189256092 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2011 |
| NPI Last Update Date: | 05/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320700000X |
| License Number: | OTA10267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |