-- ETHAN BAKER --
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1356727671- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3801 JOHNSON MILL BLVD, FAYETTEVILLE, AR, 727045297
- Phone
- (479) 856-6400
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: AR #OT-A994