Timothy Loell Baker PTA

NPI 1093951899 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1093951899
Gender Male
Enumeration Date 12/29/2008
Last Updated 12/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1649 E 72ND ST
TACOMA WA, 98404, US
Phone (971) 206-5200
Fax (971) 206-5209
Business Location
4560 SE INTERNATIONAL WAY, STE. 100
CONSONUS HEALTHCARE SERVICES ATTN: ANNA BROWNE
MILWAUKIE OR, 97222, US
Phone (971) 206-5200
Fax (971) 206-5209
Toxanomy
Taxonomy Code 225200000X
License State Washington
License Number P160045517
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According to our database, Mr. Timothy Loell Baker PTA NPI is 1093951899, taxonomy code is 225200000X and license number is P160045517, license state is located at Washington. Timothy Loell Baker PTA physically located at 1649 E 72nd St, Tacoma WA, 98404. NPI Number Timothy Loell Baker PTA has the Individual type.

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1093951899 NPI number is provided on an as is basis without warranty of any kind. 1093951899 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Loell Baker PTA are for informational purposes only.