Healthcare Provider Details

I. General information

NPI: 1780923425
Provider Name (Legal Business Name): SABITRI BAKER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABITRI HARRACKSINGH I LMT

II. Dates (important events)

Enumeration Date: 01/31/2013
Last Update Date: 05/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 COUNTRY DAY RD
CHESTER MD
21619
US

IV. Provider business mailing address

10 VILLAGE ST APT 71
EASTON MD
21601-3278
US

V. Phone/Fax

Practice location:
  • Phone: 443-750-5691
  • Fax:
Mailing address:
  • Phone: 443-709-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberM04871
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM04871
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License NumberM04871
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: