Kelli Baker, OTD, OTR/L

Individual provider Active NPI Occupational Therapist · Chardon, OH

NPI 1992009559 · NPPES record last updated Dec 22, 2010

Key facts

NPI
1992009559
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.7328 (OH)
Practice address
13000 Auburn Rd
Chardon, OH 44024-9337
Phone
(614) 580-0482
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT.7328OHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.7328 OH Yes

Addresses

Primary practice location

13000 Auburn Rd
Chardon, OH 44024-9337

Mailing address

13000 Auburn Rd
Chardon, OH 44024-9337

Other providers in Chardon, OH

All providers in Chardon, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.