Provider Demographics
NPI:1306029673
Name:BAKER, WILLIAM SKIPP (OTR/MSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:SKIPP
Last Name:BAKER
Suffix:
Gender:F
Credentials:OTR/MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 STONELEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3918
Mailing Address - Country:US
Mailing Address - Phone:845-279-0578
Mailing Address - Fax:
Practice Address - Street 1:510 STONELEIGH AVE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3918
Practice Address - Country:US
Practice Address - Phone:845-279-0578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYAA222166225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand