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NPI Code Detail

MEDICARE: MELISSA D BAKER OTR

MEDICARE: MELISSA D BAKER OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2588AL

General Provider Information

NPI Number : 1366684797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA D BAKER OTR
Provider Business Mailing Address
First Line : 1900 OLIVE ST SW
Second Line :
City : CULLMAN
State : AL
Zip : 35055-7202
Country : US
Telephone Number : 256-739-1430
Fax Number : 256-775-0310
Provider Business Practice Location Address
First Line : 245 CAHABA VALLEY PKWY STE 200
Second Line :
City : PELHAM
State : AL
Zip : 35124-2217
Country : US
Telephone Number : 205-942-6820
Fax Number : 205-942-5884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2009
Last Update Date : 03/31/2009

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Directions to “ MELISSA D BAKER OTR” Practice Location

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