Doctor Name: | MS. BRENDA JEANNE BAKER |
NPI Number: | 1730404633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, BCBA, LMT |
License Number: | MA 57488 |
Business Practice Address: | 804 Mohawk Pkwy Apt 104 Cape Coral, FL - 339145750 |
Business Phone Number: | 2397843741 |
Business Fax Number: | 2392361718 |
Mailing Address: | 804 Mohawk Pkwy Apt 104, CAPE CORAL |
State: | FL |
Postal Code: | 339145750 |
Phone Number: | 2397843741 |
Fax Number: | 2392361718 |
NPI Enumeration Date: | 04/02/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 57488 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |