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NPI Code Detail

MEDICARE: MRS. MEGAN G BAKER

MEDICARE:  MRS. MEGAN G 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
1225X00000XOccupational Therapist01765IA
2225X00000XOccupational TherapistMO 2012013504MO

General Provider Information

NPI Number : 1437355088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN G BAKER
Provider Business Mailing Address
First Line : 3507 NW BLUE JACKET DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64064-1821
Country : US
Telephone Number : 319-321-8386
Fax Number :
Provider Business Practice Location Address
First Line : 3507 NW BLUE JACKET DR
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64064-1821
Country : US
Telephone Number : 319-321-8386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 02/04/2013

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Directions to “ MRS. MEGAN G BAKER ” Practice Location

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