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NPI Code Detail

MEDICARE: MRS. LEAH CHRISTINE BAKER OTR/L

MEDICARE:  MRS. LEAH CHRISTINE BAKER  OTR/L
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
1225XP0200XPediatric Occupational TherapistOT006137GA

General Provider Information

NPI Number : 1275926495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEAH CHRISTINE BAKER OTR/L
Provider Business Mailing Address
First Line : 181 FOXBANK CIR
Second Line :
City : GREER
State : SC
Zip : 29651-7321
Country : US
Telephone Number : 443-504-8680
Fax Number :
Provider Business Practice Location Address
First Line : 1990 AUGUSTA ST STE 2500
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-6510
Country : US
Telephone Number : 864-370-0131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2015
Last Update Date : 07/28/2021

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Directions to “ MRS. LEAH CHRISTINE BAKER OTR/L” Practice Location

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