MEDICARE: DANIELLE 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	PT25859	FL

General Provider Information

NPI Number	:	1770885113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE BAKER DPT

Provider Business Mailing Address
First Line	:	3300 NW 202ND LN
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-1833
Country	:	US
Telephone Number	:	305-625-7449
Fax Number	:	305-625-7442

Provider Business Practice Location Address
First Line	:	3300 NW 202ND LN
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-1833
Country	:	US
Telephone Number	:	305-625-7449
Fax Number	:	305-625-7442

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

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	11/17/2010

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Directions to “ DANIELLE BAKER DPT” Practice Location

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