Healthcare Provider Details

I. General information

NPI: 1225948482
Provider Name (Legal Business Name): MARY BAKER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 38TH ST S
BIRMINGHAM AL
35222-2414
US

IV. Provider business mailing address

1386 CREEKSIDE GLN
BIRMINGHAM AL
35210-2192
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-1088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6027
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: