Doctor Name: | PAMELA JEAN O' BAKER |
NPI Number: | 1346588829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 02893 |
Business Practice Address: | 1 Kaylor Cir Frostburg, MD - 215322009 |
Business Phone Number: | 3016897500 |
Business Fax Number: | |
Mailing Address: | 101east State Street, KENNETT SQUARE |
State: | PA |
Postal Code: | 193483109 |
Phone Number: | 6109254148 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2013 |
NPI Last Update Date: | 06/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | 02893 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |