Most Relevant Information
Provider Data
| NPI Number: | 1003354341 |
| Provider Name: | SAMANTHA BAKER OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201009737 |
Most Important Dates
| Enumeration Date: | 02/07/2017 |
| Last Updated: | 03/29/2017 |
Provider Practice Location
22731 NEWMAND STREET
SUITE 100B
DEARBORN
MI
48124
Practice Location Phone/Fax
| Phone: | 3137910616 |
| Fax: |
Provider Mailing Location
22731 NEWMAND STREET
SUITE 100B
DEARBORN
MI
48124
Provider Mailing Phone/Fax
| Phone: | 3137910616 |
| Fax: |