MRS. Lisa Louise Baker, COTA/L

NPI #1467856088 in Owasso, Oklahoma

Provider Information

NPI Number: 1467856088
Entity Type: Individual
Name: MRS. Lisa Louise Baker, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COTA/L
Enumeration Date: Oct 9, 2014
Last Updated: Oct 9, 2014

Practice Location

Address: 8903 N 121ST EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-2026
Phone: (918) 645-0375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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