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NPI Code Detail

MEDICARE: JOI BAKER

MEDICARE: JOI BAKER
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1427424043
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOI BAKER
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 888-880-9270
Fax Number :
Provider Business Practice Location Address
First Line : 300 COLONIAL CENTER PKWY
Second Line : STE 100N
City : ROSWELL
State : GA
Zip : 30076-4899
Country : US
Telephone Number : 954-603-7885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2015
Last Update Date : 08/18/2015

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Directions to “ JOI BAKER ” Practice Location

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