Provider Demographics
NPI:1073849436
Name:BAKER, TERRI E (RPT)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:E
Last Name:BAKER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WINDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-3235
Mailing Address - Country:US
Mailing Address - Phone:203-775-3500
Mailing Address - Fax:
Practice Address - Street 1:27 DEPOT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-2601
Practice Address - Country:US
Practice Address - Phone:860-274-3200
Practice Address - Fax:860-274-8100
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist