Most Relevant Information
Provider Data
| NPI Number: | 1003599051 |
| Provider Name: | HEATHER BAKER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2419 |
Most Important Dates
| Enumeration Date: | 08/08/2023 |
| Last Updated: | 08/08/2023 |
Provider Practice Location
240 S ADAMS ST
JENKS
OK
740372573
Practice Location Phone/Fax
| Phone: | 9184090157 |
| Fax: |
Provider Mailing Location
240 S ADAMS ST
JENKS
OK
740372573
Provider Mailing Phone/Fax
| Phone: | 9184090157 |
| Fax: |