Ethan Baker
Ethan Baker is an Occupational Therapy Assistant in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2015
Practice location Address checks out
3801 Johnson Mill BlvdFayetteville, AR 72704-5297
Phone: (479) 856-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OT-A994 (AR) |
|---|
Record details
| NPI number | 1356727671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2015 |
| Last updated in NPPES | August 10, 2015 |
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