Baker, Sandra Lynn
Baker, Sandra Lynn is an individual health care provider with primary practice located at 1301 Russell Rd , Russellville AR 72802-4320. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Baker, Sandra Lynn can be contacted via phone (479) 967-2316.Contact Information
Primary practice address
1301 Russell Rd
Russellville AR 72802-4320
Phone: (479) 967-2316
Fax: (479) 967-3639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | O-TO951 | Arkansas |
Profile Details
| NPI number | 1063630085 |
|---|---|
| LBN Legal business name | Baker, Sandra Lynn |
| Credentials | MS OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 2nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063630085 | NPPES |
| Arkansas | Other | O-TO951 | STATE LIC |
| Arkansas | MEDICAID | 140519721 | STATE LIC |
| Arkansas | Other | 256016 | STATE LIC |
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