MEDICARE: MRS. MEGAN ELIZABETH BAKER DPT

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
1	225100000X	Physical Therapist	25240	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184974982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN ELIZABETH BAKER DPT

Provider Business Mailing Address
First Line	:	106 WHEATON DR
Second Line	:
City	:	LITTLESTOWN
State	:	PA
Zip	:	17340-1356
Country	:	US
Telephone Number	:	717-926-4627
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 S MAIN ST
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5325
Country	:	US
Telephone Number	:	301-829-5880
Fax Number	:	301-829-5889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	05/02/2018

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