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DR. TIFFANY SUDOL BAKER PT, DPT, CPT, CAC.

Sports >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1497145536

Individual Registrant:
DR. TIFFANY SUDOL BAKER PT, DPT, CPT, CAC.
Gender: F
Sole Proprietor

Location and contact information for practice:
76 VALLEY RD  COS COB, CT 06807-2533 US
Tel: 917-744-6457  Fax: --

Contact information for business:
120 CHERRY LN  WILTON, CT 06897-3522 US
Tel: 917-744-6457  Fax: --

Registration Information:
NPI: 1497145536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
NY037938-1
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT010303

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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